Michael Black's National Provider Identifier (NPI) Details
Michael Black, LMHC
NPI: 1780124560
Enumeration Date: 2017-02-28
Last updated: 2024-05-19
Sole Proprietor: NO
Status: active
Postal Address: 2880 DAVID WALKER DR # 237, EUSTIS, FL
Phone: 352-910-6915
Primary Practice Address: 2880 DAVID WALKER DR # 237, EUSTIS, FL
Practice's phone: 352-910-6915