DEIDRE BLACK
NPI 1700348455
Counselor - Addiction (Substance Use Disorder) in Columbus, OH
Active since April 02, 2019
About Deidre Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEIDRE BLACK (NPI 1700348455) is an individual addiction (substance use disorder) provider in Columbus, Ohio and active in the NPI registry since April 2019.
NPPES Registry Identity
NPI1700348455
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEIDRE BLACK
Location Address4000 E MAIN STColumbus, OH 43213-2950
Mailing Address4000 E Main StColumbus, OH 43213-2950
Phone(614) 334-6903
Sole ProprietorYes
Enumeration DateApril 2, 2019
✔ NPI 1700348455 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
4000 E MAIN ST, Columbus, OH 43213
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
4000 E MAIN ST
COLUMBUS, OH 43213
COLUMBUS, OH 43213
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700348455, enumerated as an "individual" on April 02, 2019.
The provider is located at 4000 E MAIN ST COLUMBUS, OH 43213 and the phone number is (614) 334-6903.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).