AVEEAVIS TERRYSEENA BLACK LCDCIII , SWCA
NPI 1215435466
Counselor - Addiction (Substance Use Disorder) in Dayton, OH

Active since January 23, 2018
815 SUNNYVIEW AVE, DAYTON, OH 45406(937) 238-5173 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aveeavis Terryseena Black Lcdciii , Swca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVEEAVIS TERRYSEENA BLACK LCDCIII , SWCA (NPI 1215435466) is an individual addiction (substance use disorder) provider in Dayton, Ohio, licensed in Ohio (LCDCIII.021224) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1215435466
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAVEEAVIS TERRYSEENA BLACKCredential: LCDCIII , SWCA
Location Address815 SUNNYVIEW AVEDayton, OH 45406-1957
Mailing Address815 Sunnyview AveDayton, OH 45406-1957 · (937) 238-5173
Sole ProprietorNo
Enumeration DateJanuary 23, 2018
NPI 1215435466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in OH · LCDCIII.021224 Licensed in OH · 111922
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License W.0000977 (OH)
815 SUNNYVIEW AVE, Dayton, OH 45406

Other Names 1

Professional Name (2)Ms. Aveeavisa Terrryseena Black

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aveeavis Black's NPI number?

The NPI number for Aveeavis Black is 1215435466. It was assigned to this individual provider in the NPPES registry on January 23, 2018. The provider is also known as Ms. Aveeavisa Terrryseena Black.

Where is Aveeavis Black located?

Aveeavis Black practices at 815 Sunnyview Ave, Dayton, OH 45406. The listed phone number is (937) 238-5173.

What is Aveeavis Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Aveeavis Black was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.