Naomi Black is a Professional Counselor in the SCOTTDALE area. Naomi Black primary office location is at 610 KENTUCKY ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013219930 and the information was updated approximately 2 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
| License Number | State |
|---|---|
| APC-002554 | GA |
| LPC-006344 | GA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 003234513A | GA |
| Taxonomy | State | Primary? |
|---|---|---|
| Professional Counselor - Taxonomy Code 101YP2500X | GA | Y |
| Professional Counselor - Taxonomy Code 101YP2500X | GA | N |