Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGIA ROSE BLACK, MS
ActiveGEORGIA ROSE BLACK, MS is a Professional Counselor healthcare provider located in NEW BERLIN, Wisconsin. NPI 1497378947 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · NEW BERLIN, WI
Registration Details
- NPI Number
- 1497378947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2020 (6.2031624249865 yrs)
- Last Updated
- Jan 18, 2022
- License
-
4665 (WI)
Practice Information
- Address
-
4855 S MOORLAND RD STE 150NEW BERLIN, WI, 531517495Browse WI providers · Browse ZIP 53151
- Phone
- 2624327702
- Fax
- 2624327795
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in NEW BERLIN, WI
| Name | Credential | NPI |
|---|---|---|
| MS. MONTINE RENE PAUERS | NCC, LPC, SAC | 1154338374 |
| MRS. RACHEL LEE VOGEDES | MA, LPC | 1780897223 |
| KATRINA M TARKE-KARGE | BA, MA | 1235438631 |
| MR. AARON EZEKIEL MUNSON | LPC | 1184998403 |
| MRS. MARY ELIZABETH PLOUFF | LPC, NCC | 1508104902 |
| SARAH P GREIL | MS, LPC, CSAC | 1184963159 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.