Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Rose Black, MS

Individual provider Art Therapist · NPI 1497378947

Georgia Rose Black, MS is an Art Therapist in New Berlin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

4855 S Moorland Rd Ste 150
New Berlin, WI 53151-7495
Phone: (262) 432-7702
Fax: (262) 432-7795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4665 (WI)
Art Therapist Taxonomy 221700000X

Record details

NPI number1497378947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022