MRS. ALEXA BLACK, LCSW, PMH-C

Social Worker - Clinical

Active Individual
NPI: 1255998589

Practice Address

100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

Phone: (801) 662-5529

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Social Worker - Clinical 1041C0700X Yes 11599470-3501 (UT)

Frequently Asked Questions

NPI 1255998589 is the National Provider Identifier for MRS. ALEXA BLACK, LCSW, PMH-C, a Social Worker - Clinical provider located in Salt Lake City, UT. This NPI was enumerated on May 22, 2019.
MRS. ALEXA BLACK, LCSW, PMH-C practices at 100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113.

Quick Facts

NPI
1255998589
Type
Individual
Enumerated
May 22, 2019
Last Updated
Apr 20, 2024

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