| Libby Lorraine Black, MSED, MS | |
|
9221 76th St, Woodhaven, NY 11421-2819 | |
| (212) 365-8742 | |
| Not Available |
| Full Name | Libby Lorraine Black |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 9221 76th St, Woodhaven, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205987740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18 000924 (New York) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Libby Lorraine Black, MSED, MS 9221 76th St, Woodhaven, NY 11421-2819 Ph: (212) 365-8742 | Libby Lorraine Black, MSED, MS 9221 76th St, Woodhaven, NY 11421-2819 Ph: (212) 365-8742 |
Nancy Castaneda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8608 Jamaica Ave, Woodhaven, NY 11421 Phone: 347-447-7297 | |
Luigi Clemente, CRC, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 8620 Park Ln S Apt 5b, Woodhaven, NY 11421 Phone: 347-720-7094 | |
Carlos Mills, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8840 85th St, Apt. 1r, Woodhaven, NY 11421 Phone: 347-229-8328 | |
Vanessa Ramirez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8103 91st Ave, Woodhaven, NY 11421 Phone: 347-754-8188 | |
Ms. Tracy Lu Liang, LMHC-D Counselor Medicare: Medicare Enrolled Practice Location: 9334 91st Ave, Woodhaven, NY 11421 Phone: 646-920-0993 | |
Dr. Ifeanyi Onyedika, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 74-19 91st Avenue, Woodhaven, NY 11421 Phone: 718-296-0558 |