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Michael W Black, LMHC
Mental Health Counselor in Eustis, Florida
NPI 1780124560

Michael W Black is a Mental Health Counselor based in Eustis, FL and is specialized in Mental Health. Michael W Black practices in Eustis, FL and has the professional credentials of LMHC. The NPI Number for Michael W Black is 1780124560 and holds a License No. MH19330 (Florida).

The current practice location address for Michael W Black is 2880 David Walker Dr # 237, Eustis, FL and can be reached out via phone at 352-910-6915.

Location: 2880 David Walker Dr # 237, Eustis, FL, 32726-6172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780124560
Provider Name
Michael W Black
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
2880 David Walker Dr # 237, Eustis, FL, 32726-6172
Phone Number
352-910-6915
Fax Number
Provider Enumeration Date
02/28/2017
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
2880 David Walker Dr # 237
City
Eustis
State
Florida
Zip
32726-6172
Phone Number
352-910-6915
Fax Number
person
Provider Business Mailing Address Details
Address
2880 David Walker Dr # 237
City
Eustis
State
Florida
Zip
32726-6172
Phone Number
352-910-6915
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH19330 (Florida)
Definition
Definition to come...
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