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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SANDRA L BLACK, MA, LPC

Active Sole Proprietor

MR. SANDRA L BLACK, MA, LPC is a Professional Counselor healthcare provider located in FORT WORTH, Texas. NPI 1619992054 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · FORT WORTH, TX

Registration Details

NPI Number
1619992054
Provider Type
Individual
Gender
Female
NPI Issued
Jul 13, 2006 (19.903567101399 yrs)
Last Updated
Oct 27, 2015
Licenses
13288 (TX)
LPC13288 (TX)
Sole Proprietor
Yes

Practice Information

Address
4200 SOUTH HULEN STREET
SUITE 658
FORT WORTH, TX, 76109
Browse TX providers · Browse ZIP 76109
Phone
8176733999
Fax
8175700370
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in FORT WORTH, TX

Name Credential NPI
DR. PAUL MERRELL THOMPSON L.P.C. (D.MIN.) 1306836341
HOLLY R NANCE LPC 1548247851
MS. KIT JONES LPC 1518944412
MR. DANIEL E FARRIS SR. LPC 1871545343
DR. YVETTE MICHELLE PHILLIPS PSY.D. 1265479562
MR. MARGARET LIPHAM BLAKELY MED, LPC 1518905132
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.