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

MICHELLE BLACK, LCDP, LMHC-A

Active

Addiction (Substance Use Disorder) Counselor · RIVERSIDE, RI

Registration Details

NPI Number
1750607677
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2010 (16.016934792384 yrs)
Last Updated
Oct 28, 2025
Licenses
CDP00634 (RI)
MHC00206-A (RI)

Practice Information

Address
610 WAMPANOAG TRL
RIVERSIDE, RI, 029151504
Browse RI providers · Browse ZIP 02915
Phone
4012461195
Additional Specialty
Mental Health Counselor

Other Addiction (Substance Use Disorder) Counselor Providers in RIVERSIDE, RI

Name Credential NPI
MR. JOSEPH DISTER MCDONNELL MS, LCDP 1932184132
NATOYA BERNICE LEBED 1366112740
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.