Black, Michelle

Black, Michelle is an individual health care provider with primary practice located at 610 Wampanoag Trl , Riverside RI 02915-1504. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Black, Michelle can be contacted via phone (401) 246-1195.

Contact Information

Primary practice address
610 Wampanoag Trl Riverside RI 02915-1504
Phone: (401) 246-1195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00206-A Rhode Island
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP00634 Rhode Island

Profile Details

NPI number 1750607677
LBN Legal business name Black, Michelle
Credentials LCDP, LMHC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Jun 21st, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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