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Organization
DR. NICOLE BLACK, PHD, LPC-S, LCDC, RPT PLLC
Active
Organization
DR. NICOLE BLACK, PHD, LPC-S, LCDC, RPT PLLC
Active
Other names
Phoenix Arise
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE BLACK PHD, LPC-S (MANAGING PARTNER)
(806) 630-0126
Entity
Organization
Contact information
Practice address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 630-0126
(806) 722-5225
Mailing address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 630-0126
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NULL
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/18/2020
Last updated
06/07/2025
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