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

Individual provider Mental Health Counselor · NPI 1124627575

Heather Leigh Black, LPCA is a Mental Health Counselor in Avon, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2020
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Practice location Address checks out

12 Lakeview Blvd
Avon, CT 06001-3442
Phone: (860) 559-6543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4255 (CT)

Record details

NPI number1124627575
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCA
Sole proprietorYes
NPI enumeratedOctober 17, 2020
Last updated in NPPESOctober 17, 2020
Certification dateOctober 16, 2020

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