Blount, Keisha J
Blount, Keisha J is an sole proprietor health care provider with primary practice located at 1800 Martin Luther King Pkwy Ste 102 , Durham NC 27707-3500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Blount, Keisha J can be contacted via phone (919) 490-6900.Contact Information
Primary practice address
1800 Martin Luther King Pkwy Ste 102
Durham NC 27707-3500
Phone: (919) 490-6900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1095 | North Carolina |
| Agencies / Community/Behavioral Health | 251S00000X | 1095 | North Carolina |
Profile Details
| NPI number | 1922269570 |
|---|---|
| LBN Legal business name | Blount, Keisha J |
| Credentials | MA,LCAS,CSI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2008 |
| Last updated | May 30th, 2023 - about 3 years ago |
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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