Black, Nicole

Black, Nicole is an sole proprietor health care provider with primary practice located at 4601 66Th St Ste D , Lubbock TX 79414-4875. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Black, Nicole can be contacted via phone (806) 630-0126.

Contact Information

Primary practice address
4601 66Th St Ste D Lubbock TX 79414-4875
Phone: (806) 630-0126
Fax: (806) 722-5225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12986 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 71446 Texas

Profile Details

NPI number 1477935351
LBN Legal business name Black, Nicole
Credentials PHD, LPC-S, LCDC RPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2015
Last updated Jun 7th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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