Leora E Black, PHD
Counselor, Mental Health in Colchester, Vermont
1003986407- Practice location
- 525 Hercules Dr, Suite 1A, Colchester, VT 05446-5993
- Phone
- 802-264-5333
- Fax
- 802-264-5338
- Last updated
- December 13, 2023
Leora Elizabeth Black is a Counselor, Mental Health based in Colchester, VT. Leora Elizabeth Black practices in Colchester, VT and has the professional credentials of PHD. The NPI Number for Leora Elizabeth Black is 1003986407 and holds a License No. 068-0000067 (VT). The current practice location address for Leora Elizabeth Black is 525 Hercules Dr, Suite 1A, Colchester, VT 05446-5993 and can be reached out via phone at 802-264-5333 and via fax at 802-264-5338.
Provider Profile Details
- NPI Number
- 1003986407
- Provider Name
- Leora Elizabeth Black
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 525 Hercules Dr, Suite 1A, Colchester, VT 05446-5993
- Phone Number
- 802-264-5333
- Fax Number
- 802-264-5338
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 9, 2006
- Last Update Date
- December 13, 2023
- Certification Date
- December 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 525 Hercules Dr
Suite 1A
Colchester, VT 05446-5993 - City
- Colchester
- State
- Vermont
- Zip
- 05446-5993
- Phone Number
- 802-264-5333
- Fax Number
- 802-264-5338
Provider Business Mailing Address Details
- Address
- 231 Country Mdws
Colchester, VT 05446-7072 - City
- Colchester
- State
- VT
- Zip
- 05446-7072
- Phone Number
- 802-264-5333
- Fax Number
- 802-264-5338
License Information
- License Number
- 068-0000067
- License State
- VT
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Colchester, VT
View all Counselor, Mental Health providers in Colchester →- Emily AikenCounselor, Mental Health · NPI 1841155959
- Katarzyna O Brown, LCMHCCounselor, Mental Health · NPI 1144767559
- Kayla BarrowCounselor, Mental Health · NPI 1740157353
- Michael C Bergeron, LCMHCCounselor, Mental Health · NPI 1386387868
- Mr. John E Allen Jr., MACounselor, Mental Health · NPI 1700152766
Frequently Asked Questions
What is the NPI number of Leora E Black, PHD?
The NPI number of Leora E Black, PHD is 1003986407. It was assigned on November 9, 2006 and is currently active in the NPPES registry.
What is the specialty of Leora E Black, PHD?
Leora E Black, PHD is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068-0000067.
Where does Leora E Black, PHD practice?
The practice location is 525 Hercules Dr, Suite 1A, Colchester, VT 05446-5993. The office can be reached at 802-264-5333 (phone) or 802-264-5338 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003986407 directly on the NPPES registry website.