Destiny Faatima Tiera Blue, MSW, LCSW-A, LCAS-A is a
Counselor - Addiction (substance Use Disorder) based in Hope Mills, North Carolina. Destiny Faatima Tiera Blue is licensed to practice in North Carolina (license number LCAS-27727) and her current practice location is
5856 Corner Oaks Dr, Hope Mills, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 977-7598.
NPI number for Destiny Faatima Tiera Blue is 1265161095 and her current mailing address is 5856 Corner Oaks Dr, Hope Mills, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265161095.
Healthcare Provider's Profile
Full Name | Destiny Faatima Tiera Blue |
---|
Gender | Female |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | 5856 Corner Oaks Dr, Hope Mills, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265161095
- Provider Enumeration Date: 06/07/2022
- Last Update Date: 06/07/2022
Medical Identifiers
Medical identifiers for Destiny Faatima Tiera Blue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265161095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-27727 (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. Destiny Faatima Tiera Blue 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 |
Destiny Faatima Tiera Blue, MSW, LCSW-A, LCAS-A 5856 Corner Oaks Dr, Hope Mills, NC 28348-9355 Ph: (910) 977-7598 | Destiny Faatima Tiera Blue, MSW, LCSW-A, LCAS-A 5856 Corner Oaks Dr, Hope Mills, NC 28348-9355 Ph: (910) 977-7598 |
Reviews and Comments