Individual provider · Type 1 NPI

Micaela T. Black, LMHC

Mental Health Counselor · Portsmouth, RI

NPI number 1629207626 Active

Practice location

107 Clock Tower Sq, Suite 107
Portsmouth, RI 02871-1396

Call (401) 255-4299 Map

Mailing address

163 N Christopher Ave
Tiverton, RI 02878-3885

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHC00421 (RI)
Case Manager/Care Coordinator 171M00000X0005601 (RI)

Mental Health Counselor: Definition to come...

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About NPI 1629207626

Micaela T. Black, LMHC's National Provider Identifier is 1629207626, issued on Jul 11, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portsmouth, RI. The record was last updated on Jul 11, 2009.