Ms Keisha J Blount, MA,LCAS,CSI is a
Community/behavioral Health based in Durham, North Carolina. Ms Keisha J Blount is licensed to practice in North Carolina (license number 1095) and her current practice location is
1800 Martin Luther King Pkwy Ste 102, Durham, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 490-6900.
NPI number for Ms Keisha J Blount is 1922269570 and her current mailing address is 5800 Executive Center Dr Ste 101, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922269570.
Healthcare Provider's Profile
Full Name | Ms Keisha J Blount |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 1800 Martin Luther King Pkwy Ste 102, Durham, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922269570
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 05/30/2023
Medical Identifiers
Medical identifiers for Ms Keisha J Blount such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922269570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1095 (North Carolina) | Secondary |
251S00000X | Community/behavioral Health | 1095 (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. Ms Keisha J Blount 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 |
Ms Keisha J Blount, MA,LCAS,CSI 5800 Executive Center Dr Ste 101, Charlotte, NC 28212-8869 Ph: (704) 227-0605 | Ms Keisha J Blount, MA,LCAS,CSI 1800 Martin Luther King Pkwy Ste 102, Durham, NC 27707-3500 Ph: (919) 490-6900 |
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