Mrs. Theresa L Black, LPC, NCC, ACS
Counselor, Professional in Bridgeton, New Jersey
1376802397- Practice location
- 333 Irving Ave, Capc First Floor, Bridgeton, NJ 08302-2123
- Phone
- 856-575-4196
- Fax
- 856-575-5071
- Last updated
- March 3, 2015
Theresa L Black is a Counselor, Professional based in Bridgeton, NJ. Theresa L Black practices in Bridgeton, NJ and has the professional credentials of LPC, NCC, ACS. The NPI Number for Theresa L Black is 1376802397 and holds a License No. 37PC00324200 (NJ). The current practice location address for Theresa L Black is 333 Irving Ave, Capc First Floor, Bridgeton, NJ 08302-2123 and can be reached out via phone at 856-575-4196 and via fax at 856-575-5071.
Provider Profile Details
- NPI Number
- 1376802397
- Provider Name
- Theresa L Black
- Credential
- LPC, NCC, ACS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 333 Irving Ave, Capc First Floor, Bridgeton, NJ 08302-2123
- Phone Number
- 856-575-4196
- Fax Number
- 856-575-5071
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2012
- Last Update Date
- March 3, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 Irving Ave
Capc First Floor
Bridgeton, NJ 08302-2123 - City
- Bridgeton
- State
- New Jersey
- Zip
- 08302-2123
- Phone Number
- 856-575-4196
- Fax Number
- 856-575-5071
Provider Business Mailing Address Details
- Address
- 333 Irving Ave
Capc First Floor
Bridgeton, NJ 08302-2123 - City
- Bridgeton
- State
- NJ
- Zip
- 08302-2123
- Phone Number
- 856-575-4196
- Fax Number
- 856-575-5071
License Information
- License Number
- 37PC00324200
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Theresa L Black, LPC, NCC, ACS?
The NPI number of Mrs. Theresa L Black, LPC, NCC, ACS is 1376802397. It was assigned on May 11, 2012 and is currently active in the NPPES registry.
What is the specialty of Mrs. Theresa L Black, LPC, NCC, ACS?
Mrs. Theresa L Black, LPC, NCC, ACS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00324200.
Where does Mrs. Theresa L Black, LPC, NCC, ACS practice?
The practice location is 333 Irving Ave, Capc First Floor, Bridgeton, NJ 08302-2123. The office can be reached at 856-575-4196 (phone) or 856-575-5071 (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 1376802397 directly on the NPPES registry website.