Georgia Rose Black is a New Berlin, Wisconsin based counselor who is specialized as Counselor. Active license number of Georgia Rose Black is 4665 for Professional Counselor in Wisconsin. Her current practice location is 4855 S Moorland Rd Ste 150, New Berlin. Patients can book an appointment with her at 262-432-7702.
Georgia Rose Black is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. She works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. She support her clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Georgia Rose Black speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Georgia Rose Black
Specialization:
Counselor
Gender:
Female
Credentials:
MS
Accepts Medicare Assignment:
No
Practice Address:
4855 S Moorland Rd Ste 150, New Berlin, Wisconsin, 53151-7495
Phone:
262-432-7702
Fax:
262-432-7795
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1497378947
NPI Enumeration Date:
19 May, 2020
NPI Last Update On:
18 Jan, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Georgia Rose Black are as mentioned below.
License Number
Specialization
State
Status
4665
Professional Counselor
Wisconsin
Primary
Art Therapist
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Georgia Rose Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1497378947
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9000 W Wisconsin Ave # Ms 958, Milwaukee, Wisconsin
Zip:
53226-4874
Phone Number:
414-266-7615
Fax Number:
414-266-6238
Patients can reach Georgia Rose Black at 4855 S Moorland Rd Ste 150, New Berlin, Wisconsin or can call to book an appointment on 262-432-7702. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.