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

Iiesha Black, LPC

Individual provider Mental Health Counselor · NPI 1013723246

Iiesha Black, LPC is a Mental Health Counselor in Hinesville, Georgia. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

345 W Memorial Dr
Hinesville, GA 31313-2413
Phone: (912) 456-2010
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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 LPC015171 (GA)

Record details

NPI number1013723246
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedDecember 3, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address345 W Memorial Dr, Hinesville, GA 31313-2413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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