Individual provider · Type 1 NPI

Sophia H. Black, LPC, NCC

Addiction (Substance Use Disorder) Counselor · Kernersville, NC

NPI number 1205032802 Active

Practice location

110 Amersham Ct
Kernersville, NC 27284-6835

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3734 (NC)
Professional Counselor 101YP2500X3734 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205032802

Sophia H. Black, LPC, NCC's National Provider Identifier is 1205032802, issued on Jun 21, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kernersville, NC. The record was last updated on Sep 11, 2025.