Cheryl Blackmon, LCASA is a
Counselor - Addiction (substance Use Disorder) based in Fayetteville, North Carolina. Cheryl Blackmon is licensed to practice in North Carolina (license number 2464A) and her current practice location is
690 Lava Trl, Fayetteville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 286-5826.
NPI number for Cheryl Blackmon is 1164662045 and her current mailing address is 690 Lava Trl, Fayetteville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164662045.
Healthcare Provider's Profile
Full Name | Cheryl Blackmon |
---|
Gender | Female |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | 690 Lava Trl, Fayetteville, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164662045
- Provider Enumeration Date: 03/04/2009
- Last Update Date: 01/28/2013
Medical Identifiers
Medical identifiers for Cheryl Blackmon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164662045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | P004629 (North Carolina) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2464A (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheryl Blackmon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cheryl Blackmon, LCASA 690 Lava Trl, Fayetteville, NC 28311-1920 Ph: (910) 286-5826 | Cheryl Blackmon, LCASA 690 Lava Trl, Fayetteville, NC 28311-1920 Ph: (910) 286-5826 |
Reviews and Comments