Black, Robert D

Black, Robert D is an sole proprietor health care provider with primary practice located at 2569 Lakefield Trl , Marietta GA 30064-5764. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Black, Robert D can be contacted via phone (626) 318-2333.

Contact Information

Primary practice address
2569 Lakefield Trl Marietta GA 30064-5764
Phone: (626) 318-2333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC308 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 108223 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 108223 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007406 Georgia

Profile Details

NPI number 1629583471
LBN Legal business name Black, Robert D
Credentials LPC, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2017
Last updated Dec 1st, 2017 - about 7 years 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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