Individual
MISS EMILY RACHELL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
1401 MATTHEWS TOWNSHIP PKWY STE 320, MATTHEWS, NC 28105-5403
(704) 384-1261
(704) 384-3145
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
14643
NC
101YM0800X
Mental Health Counselor
Primary
14643
NC
101YP2500X
Professional Counselor
14643
NC
101YP2500X
Professional Counselor
A14643
NC
Other
Enumeration date
03/04/2019
Last updated
02/04/2026
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