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Georgia Rose Black, MS
Professional Counselor in New Berlin, Wisconsin
NPI 1497378947

Georgia Rose Black is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Georgia Rose Black practices in New Berlin, WI and has the professional credentials of MS. The NPI Number for Georgia Rose Black is 1497378947 and holds a License No. (Wisconsin).

The current practice location address for Georgia Rose Black is 4855 S Moorland Rd Ste 150, New Berlin, WI and can be reached out via phone at 262-432-7702 and via fax at 262-432-7795. You can also correspond with Georgia Rose Black through the mailing address at 9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI - 53226-4874 (mailing address contact number: 414-266-7615).

Location: 4855 S Moorland Rd Ste 150, New Berlin, WI, 53226-4874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497378947
Provider Name
Georgia Rose Black
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
4855 S Moorland Rd Ste 150, New Berlin, WI, 53226-4874
Phone Number
262-432-7702
Fax Number
262-432-7795
Provider Enumeration Date
05/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497378947 05 WI
institution
Provider Business Practice Location Address Details
Address
4855 S Moorland Rd Ste 150
City
New Berlin
State
Wisconsin
Zip
53151-7495
Phone Number
262-432-7702
Fax Number
262-432-7795
person
Provider Business Mailing Address Details
Address
4855 S Moorland Rd Ste 150
City
New Berlin
State
Wisconsin
Zip
53151-7495
Phone Number
262-432-7702
Fax Number
262-432-7795
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4665 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Art Therapist
Speciality
-
Taxonomy
221700000X
License No.
()
Definition
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
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