IndividualActive
Vernetta Black, TLLP
NPI 1073236469 · Addiction (Substance Use Disorder) Psychologist · Southgate, MI
Provider details
- NPI number
- 1073236469
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- TLLP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7705
Approximate (ZIP-level) locationGet directions
Mailing address
13101 Allen Rd
Southgate, MI 48195-2216
Additional practice locations (1)
- 3947 Townsend StDetroit, MI 48214-1029Phone: (313) 212-7069
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.