Mickenzie Renee Black, LSW
NPI #1205624715 in New Castle, Pennsylvania
Provider Information
- NPI Number
- 1205624715
- Entity Type
- Individual
- Name
- Mickenzie Renee Black, LSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LSW
- Enumeration Date
- Apr 26, 2025
- Last Updated
- Jul 13, 2025
Practice Location
- Address
- 121 ENCLAVE DR STE C
- City
- New Castle
- State
- Pennsylvania
- ZIP Code
- 16105-3207
- Phone
- (724) 657-4325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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