HEATHER LEIGH BLACK LPCA NPI 1124627575

NPI Information

  • NPI: 1124627575
  • Provider Name: HEATHER LEIGH BLACK, LPCA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 12 LAKEVIEW BLVD
    AVON, CT
    ZIP 06001
  • Phone: (860) 559-6543

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NPI Details

Heather Leigh Black, LPCA is a mental health counselor in Avon, CT. Heather Leigh Black, LPCA NPI is 1124627575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12 LAKEVIEW BLVD
AVON, CT
ZIP 06001-442
Phone: (860) 559-6543

The enumeration date for this NPI number is 10/17/2020 and was last updated on 10/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health4255CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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