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PHYLLIS REGINA BLACK CDP
NPI 1407186869
Counselor - Addiction (Substance Use Disorder) in Seattle, WA

Active since January 07, 2010
325 9TH AVE # 359797, SEATTLE, WA 98104(206) 744-9612(206) 744-9920 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phyllis Regina Black Cdp NPPES

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

PHYLLIS REGINA BLACK CDP (NPI 1407186869) is an individual addiction (substance use disorder) provider in Seattle, Washington, licensed in Washington (CP60097360) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1407186869
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHYLLIS REGINA BLACKCredential: CDP
Location Address325 9TH AVE # 359797Seattle, WA 98104-2420
Mailing Address325 9th Ave # 359797Seattle, WA 98104-2420 · (206) 744-9612 · Fax (206) 744-9920
Phone(206) 744-9612
Fax(206) 744-9920
Sole ProprietorYes
Enumeration DateJanuary 7, 2010
✔ NPI 1407186869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60097360
325 9TH AVE # 359797, Seattle, WA 98104
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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.

HARBORVIEW MEDICAL CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
325 9TH AVE # 359797
SEATTLE, WA 98104
King County (206) 744-7123
HELEN WILKE
Social Worker
325 9TH AVE # 359797
SEATTLE, WA 98104
King County (608) 358-7411
MRS. AMANDA HOLLAND KERBRAT MSW
Counselor (Addiction (Substance Use Disorder))
325 9TH AVE # 359797
SEATTLE, WA 98104
King County (206) 744-9624
JANIAH TOLBERT
Counselor (Mental Health)
325 9TH AVE # 359797
SEATTLE, WA 98104
King County (206) 744-9673
ANNA MARGO AUSTING MSW, LSWAIC
Social Worker (Clinical)
325 9TH AVE # 359797, OUTPATIENT BEHAVIORAL HEALTH #AUSTING, ANNA
SEATTLE, WA 98104
King County (206) 744-9657
DOTTIE MARIE BROWN
Peer Specialist
325 9TH AVE # 359797
SEATTLE, WA 98104
King County (206) 744-9625
KATHLEEN SEMANSKY M.ED
Counselor (Mental Health)
325 9TH AVE # 359797
SEATTLE, WA 98104
King County (650) 271-4231
MS. RUTH T WOJTOWICZ B.A.
Counselor (Mental Health)
325 9TH AVE # 359797
SEATTLE, WA 98104
King County (206) 744-9636

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 Phyllis Black's NPI number?

The NPI number for Phyllis Black is 1407186869. It was assigned to this individual provider in the NPPES registry on January 7, 2010.

Where is Phyllis Black located?

Phyllis Black practices at 325 9th Ave # 359797, Seattle, WA 98104. The listed phone number is (206) 744-9612.

What is Phyllis Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phyllis Black was last updated on January 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.