Mrs Dezerri Renee Black, LASAC, LAMFT - Counselor in Sun City, AZ

Mrs Dezerri Renee Black, LASAC, LAMFT is a Counselor - Addiction (substance Use Disorder) based in Sun City, Arizona. Mrs Dezerri Renee Black is licensed to practice in Arizona (license number 15245) and her current practice location is Po Box 1265, Sun City, Arizona. She can be reached at her office (for appointments etc.) via phone at (623) 920-6041.

NPI number for Mrs Dezerri Renee Black is 1578384830 and her current mailing address is Po Box 1265, Sun City, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578384830.

Contact Information

Mrs Dezerri Renee Black, LASAC, LAMFT
Po Box 1265,
Sun City, AZ 85372-1265
(623) 920-6041
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Dezerri Renee Black
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
LocationPo Box 1265, Sun City, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578384830
  • Provider Enumeration Date: 10/21/2024
  • Last Update Date: 10/21/2024

Medical Identifiers

Medical identifiers for Mrs Dezerri Renee Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578384830NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 10599 (Arizona)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) 15245 (Arizona)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. Mrs Dezerri Renee Black 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
Mrs Dezerri Renee Black, LASAC, LAMFT
Po Box 1265,
Sun City, AZ 85372-1265

Ph: (623) 920-6041
Mrs Dezerri Renee Black, LASAC, LAMFT
Po Box 1265,
Sun City, AZ 85372-1265

Ph: (623) 920-6041

Reviews and Comments


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