# DR. NICOLE BLACK, PHD, LPC-S, LCDC, RPT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Arise
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780270173
- **Authorized official:** DR. NICOLE BLACK PHD, LPC-S (MANAGING PARTNER)
- **Authorized official phone:** (806) 630-0126

## Contact information

- **Practice address:** 4601 66TH ST STE D, LUBBOCK, TX 79414-4875
- **Practice address phone:** (806) 630-0126
- **Practice address fax:** (806) 722-5225
- **Mailing address:** 4601 66TH ST STE D, LUBBOCK, TX 79414-4875
- **Mailing address phone:** (806) 630-0126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 12/18/2020
- **Last updated:** 06/07/2025