Heather Leigh Black, LPCA - Counselor in Avon, CT

Heather Leigh Black, LPCA is a Counselor - Mental Health based in Avon, Connecticut. Heather Leigh Black is licensed to practice in Connecticut (license number 4255) and her current practice location is 12 Lakeview Blvd, Avon, Connecticut. She can be reached at her office (for appointments etc.) via phone at (860) 559-6543.

NPI number for Heather Leigh Black is 1124627575 and her current mailing address is 12 Lakeview Blvd, Avon, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124627575.

Contact Information

Heather Leigh Black, LPCA
12 Lakeview Blvd,
Avon, CT 06001-3442
(860) 559-6543
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameHeather Leigh Black
GenderFemale
SpecialityCounselor - Mental Health
Location12 Lakeview Blvd, Avon, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124627575
  • Provider Enumeration Date: 10/17/2020
  • Last Update Date: 10/17/2020

Medical Identifiers

Medical identifiers for Heather Leigh Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124627575NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 4255 (Connecticut)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Leigh Black is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heather Leigh Black, LPCA
12 Lakeview Blvd,
Avon, CT 06001-3442

Ph: (860) 559-6543
Heather Leigh Black, LPCA
12 Lakeview Blvd,
Avon, CT 06001-3442

Ph: (860) 559-6543

Reviews and Comments


Counselor in Avon, CT

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Mrs. Linda Valera, LPC
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Phone: 860-284-0048    

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