person
Laura Black
Professional Counselor in Bowling Green, Kentucky
NPI 1043695927

Laura Black is a Professional Counselor based in Bowling Green, KY and is specialized in Professional. Laura Black practices in Bowling Green, KY. The NPI Number for Laura Black is 1043695927 and holds a License No. (Kentucky).

The current practice location address for Laura Black is 380 Suwannee Trail St, Bowling Green, KY and can be reached out via phone at 270-901-5000 and via fax at 270-842-5268.

Location: 380 Suwannee Trail St, Bowling Green, KY, 42101
person
Provider Profile Details
NPI Number
1043695927
Provider Name
Laura Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
380 Suwannee Trail St, Bowling Green, KY, 42101
Phone Number
270-901-5000
Fax Number
270-842-5268
Provider Enumeration Date
07/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100439620 05 KY
institution
Provider Business Practice Location Address Details
Address
380 Suwannee Trail St
City
State
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider Business Mailing Address Details
Address
380 Suwannee Trail St
City
State
Zip
42103-7956
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
171471 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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