Rachel Black

Individual provider Active NPI Mental Health Counselor · Eustis, FL

NPI 1447749445 · NPPES record last updated Aug 6, 2025

Key facts

NPI
1447749445
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH18535 (FL)
Practice address
2880 David Walker Dr, #237
Eustis, FL 32726
Phone
(352) 554-1539
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MH18535FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X MH18535 FL Yes

Addresses

Primary practice location

2880 David Walker Dr, #237
Eustis, FL 32726

Mailing address

2880 David Walker Dr, #237
Eustis, FL 32726
Phone (352) 554-1539

Other providers in Eustis, FL

All providers in Eustis, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.