Individual provider · Type 1 NPI

Michelle Black, LCDP, LMHC-A

Addiction (Substance Use Disorder) Counselor · Riverside, RI

NPI number 1750607677 Active

Practice location

610 Wampanoag Trl
Riverside, RI 02915-1504

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00634 (RI)
Mental Health Counselor 101YM0800XMHC00206-A (RI)

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

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About NPI 1750607677

Michelle Black, LCDP, LMHC-A's National Provider Identifier is 1750607677, issued on Apr 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, RI. The record was last updated on Oct 28, 2025.