Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Marisa Black

Individual provider Counselor · NPI 1629315429

Marisa Black is a Counselor in Concord, North Carolina. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

284 Executive Park Dr Ste 100
Concord, NC 28025-1831 Not confirmed with CMS for 13 years — call before visiting
Phone: (704) 939-1100
Fax: (704) 939-1173
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1629315429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2013
Last updated in NPPESJanuary 14, 2013

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