DR. NICOLE BLACK PHD LPC-S LCDC RPT NPI 1780270173

NPI Information

NPI: 1780270173
Provider Name: DR. NICOLE BLACK, PHD, LPC-S, LCDC, RPT

Doing Business As: PHOENIX ARISE

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4601 66TH ST STE E
LUBBOCK, TX
ZIP 79414
Phone: (806) 712-5225
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DR. NICOLE BLACK, PHD, LPC-S, LCDC, RPT is a professional counselor in Lubbock, TX. DR. NICOLE BLACK, PHD, LPC-S, LCDC, RPT NPI is 1780270173. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phoenix Arise.

The provider's business location address is:

4601 66TH ST STE E
LUBBOCK, TX
ZIP 79414-875
Phone: (806) 712-5225
Fax: (806) 722-5225

The provider's authorized official is Nicole Black .
The authorized official title is Managing Partner and has the following contact phone number (806) 712-5225.

The enumeration date for this NPI number is 12/18/2020 and was last updated on 1/27/2022.

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
1	1041C0700X	Social Worker	Clinical			No
2	101YP2500X	Counselor	Professional			Yes

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: 4/28/2024

NPI Synchronization or Removal

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