Dominique Teasley, CIT is a
Counselor - Addiction (substance Use Disorder) based in Cheneyvillie, Louisiana. Dominique Teasley is licensed to practice in Louisiana (license number 4235) and his current practice location is
10627 Us Hwy 71, Cheneyvillie, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 279-2751.
NPI number for Dominique Teasley is 1538795927 and his current mailing address is Po Box 407, Cheneyville, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538795927.
Healthcare Provider's Profile
Full Name | Dominique Teasley |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 10627 Us Hwy 71, Cheneyvillie, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538795927
- Provider Enumeration Date: 03/17/2020
- Last Update Date: 03/17/2020
Medical Identifiers
Medical identifiers for Dominique Teasley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538795927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 4235 (Louisiana) | 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. Dominique Teasley 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 |
Dominique Teasley, CIT Po Box 407, Cheneyville, LA 71325-0407 Ph: () - | Dominique Teasley, CIT 10627 Us Hwy 71, Cheneyvillie, LA 71325 Ph: (318) 279-2751 |
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