Most Relevant Information
Provider Data
| NPI Number: | 1003016254 |
| Provider Name: | NOEL LEE BLACK MS, LPC, CHT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 1160 |
Most Important Dates
| Enumeration Date: | 07/24/2007 |
| Last Updated: | 07/24/2007 |
Provider Practice Location
357 TOWNE CENTER BLVD
SUITE 402
RIDGELAND
MS
391574870
Practice Location Phone/Fax
| Phone: | 6019520515 |
| Fax: | 6019522955 |
Provider Mailing Location
357 TOWNE CENTER BLVD
SUITE 402
RIDGELAND
MS
391574870
Provider Mailing Phone/Fax
| Phone: | 6019520515 |
| Fax: | 6019522955 |