Mrs. Theresa L Black is a Bridgeton, New Jersey based counselor who is specialized as Professional Counselor. Active license number of Mrs. Theresa L Black is 37PC00324200 for Professional Counselor in New Jersey. Her current practice location is 333 Irving Ave, Capc First Floor, Bridgeton. Patients can book an appointment with her at 856-575-4196.
Mrs. Theresa L Black is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Mrs. Theresa L 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:
Mrs. Theresa L Black
Specialization:
Professional Counselor
Gender:
Female
Credentials:
LPC, NCC, ACS
Accepts Medicare Assignment:
No
Practice Address:
333 Irving Ave, Capc First Floor, Bridgeton, New Jersey, 08302-2123
Phone:
856-575-4196
Fax:
856-575-5071
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:
1376802397
NPI Enumeration Date:
11 May, 2012
NPI Last Update On:
03 Mar, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Theresa L Black are as mentioned below.
License Number
Specialization
State
Status
37PC00324200
Professional Counselor
New Jersey
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Theresa L Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3674509
Medicaid
New Jersey
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
333 Irving Ave, Capc First Floor Bridgeton, New Jersey
Zip:
08302-2123
Phone Number:
856-575-4196
Fax Number:
856-575-5071
Patients can reach Mrs. Theresa L Black at 333 Irving Ave, Capc First Floor, Bridgeton, New Jersey or can call to book an appointment on 856-575-4196. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.