Individual provider · Type 1 NPI
Michael W. Black, LMHC
Mental Health Counselor · Eustis, FL
NPI number
1780124560
Active
Practice location
2880 David Walker Dr # 237
Eustis, FL 32726-6172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH19330 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1780124560
Michael W. Black, LMHC's National Provider Identifier is 1780124560, issued on Feb 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eustis, FL. The record was last updated on May 19, 2024.