Ryquaisa Kyella Humphrey, LCASA, LCSWA - in Erwin, NC

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Ryquaisa Kyella Humphrey, LCASA, LCSWA is a Counselor - Addiction (substance Use Disorder) based in Erwin, North Carolina. Ryquaisa Kyella Humphrey is licensed to practice in North Carolina (license number 21744) and her current practice location is 596 E Jackson Blvd Bldg B, Erwin, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 897-2008.

NPI number for Ryquaisa Kyella Humphrey is 1932772175 and her current mailing address is 185 Bryson Ct Apt 104, Lillington, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932772175.

Contact Information

Ryquaisa Kyella Humphrey, LCASA, LCSWA
596 E Jackson Blvd Bldg B,
Erwin, NC 28339-9629
(910) 897-2008
Not Available

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Healthcare Provider's Profile

Full NameRyquaisa Kyella Humphrey
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location596 E Jackson Blvd Bldg B, Erwin, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932772175
  • Provider Enumeration Date: 07/23/2021
  • Last Update Date: 07/23/2021

Medical Identifiers

Medical identifiers for Ryquaisa Kyella Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932772175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical P01635 (North Carolina)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 21744 (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. Ryquaisa Kyella Humphrey 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 AddressPractice Location Address
Ryquaisa Kyella Humphrey, LCASA, LCSWA
185 Bryson Ct Apt 104,
Lillington, NC 27546-6372

Ph: (704) 953-5595		Ryquaisa Kyella Humphrey, LCASA, LCSWA
596 E Jackson Blvd Bldg B,
Erwin, NC 28339-9629

Ph: (910) 897-2008

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