| Doctor Name: | MS. NOEL LEE BLACK |
| NPI Number: | 1003016254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC, CHT |
| License Number: | 1160 |
| Business Practice Address: | 357 Towne Center Blvd Suite 402 Ridgeland, MS - 391574870 |
| Business Phone Number: | 6019520515 |
| Business Fax Number: | 6019522955 |
| Mailing Address: | 357 Towne Center Blvd, Suite 402 RIDGELAND |
| State: | MS |
| Postal Code: | 391574870 |
| Phone Number: | 6019520515 |
| Fax Number: | 6019522955 |
| NPI Enumeration Date: | 07/24/2007 |
| NPI Last Update Date: | 07/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1160 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |