PAUL BLACK LCMHC
NPI 1104446897
Counselor - Mental Health in Rutland, VT

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since April 22, 2020

78 S MAIN ST, RUTLAND, VT 05701(802) 770-5418(802) 747-7699 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Paul Black Lcmhc NPPES

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

PAUL BLACK LCMHC (NPI 1104446897) is an individual mental health provider in Rutland, Vermont, licensed in Vermont (0680127083) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1104446897

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NamePAUL BLACKCredential: LCMHC

Location Address78 S MAIN STRutland, VT 05701-4594

Mailing Address78 S Main StRutland, VT 05701-4594 · (802) 770-5418 · Fax (802) 747-7699

Phone(802) 770-5418

Fax(802) 747-7699

Sole ProprietorNo

Enumeration DateApril 22, 2020

NPPES CertifiedApril 22, 2020

✔ NPI 1104446897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in VT · 0680127083

78 S MAIN ST, Rutland, VT 05701

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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.

MR. J. DAVID LONG PSYCHOLOGIST DOCTORA

Psychologist (Clinical)