Black-Dias, Devin Elise

Black-Dias, Devin Elise is an sole proprietor health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Black-Dias, Devin Elise can be contacted via phone (843) 852-4100.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 852-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 289 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 18108 South Carolina

Profile Details

NPI number 1396005005
LBN Legal business name Black-Dias, Devin Elise
Credentials MSW, LISW-CP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2012
Last updated Aug 1st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396005005 NPPES
South Carolina MEDICAID 1760596480

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