Phoenix Arise

LBN: Dr. Nicole Black, Phd, Lpc-S, Lcdc, Rpt
Phoenix Arise is an health care organization with primary practice located at 4601 66Th St Ste E , Lubbock TX 79414-4875. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Dr. Nicole Black, Phd, Lpc-S, Lcdc, Rpt can be contacted via phone (806) 712-5225, or through Black, Nicole via phone (806) 712-5225.

Contact Information

Primary practice address
4601 66Th St Ste E Lubbock TX 79414-4875
Phone: (806) 712-5225
Fax: (806) 722-5225
Website:
Map and Directions
Authorized official contact:
Name: Black, Nicole PHD, LPC-S
Phone: (806) 712-5225

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1780270173
LBN Legal business name Dr. Nicole Black, Phd, Lpc-S, Lcdc, Rpt
DBA Doing business as Phoenix Arise
Authorized official Black, Nicole PHD, LPC-S
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2020
Last updated Jan 27th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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