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VERNETTA PERRIN BLACK TLLP
NPI 1073236469
Psychologist - Addiction (Substance Use Disorder) in Southgate, MI

Active since September 21, 2022
13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7705 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vernetta Perrin Black Tllp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERNETTA PERRIN BLACK TLLP (NPI 1073236469) is an individual addiction (substance use disorder) provider in Southgate, Michigan and active in the NPI registry since September 2022. She maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1073236469
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameVERNETTA PERRIN BLACKCredential: TLLP
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address13101 Allen RdSouthgate, MI 48195-2216 · (734) 649-8940
Phone(734) 785-7705
Sole ProprietorNo
Enumeration DateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1073236469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

13101 ALLEN RD, Southgate, MI 48195
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Secondary Practice Location 1

Location 13947 Townsend StDetroit, MI 48214-1029 · Phone (313) 212-7069

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI SUE MITCHELL RN
Registered Nurse
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7731
SHANNON BAYNAI
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MISS RENEE GOLDSBY
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 486-3199
POONAM SHYAM MELWANI
Social Worker
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MR. JAMES GERARD LIVINGSTON LLMSW
Social Worker (Clinical)
13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
VICKIE LYNN NOVELL LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CLAUDETTE JEFFERSON LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
RICKY DAVIS QMHS-B
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vernetta Black's NPI number?

The NPI number for Vernetta Black is 1073236469. It was assigned to this individual provider in the NPPES registry on September 21, 2022.

Where is Vernetta Black located?

Vernetta Black practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7705.

What is Vernetta Black's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Vernetta Black was last updated on September 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.