Black, Darryl S

Black, Darryl S is an sole proprietor health care provider with primary practice located at 3 Mccabe Ct , Little Ferry NJ 07643-2113. He 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Black, Darryl S can be contacted via phone (201) 440-2998.

Contact Information

Primary practice address
3 Mccabe Ct Little Ferry NJ 07643-2113
Phone: (201) 440-2998
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00026500 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00318700 New Jersey

Profile Details

NPI number 1780889667
LBN Legal business name Black, Darryl S
Credentials LPC., LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780889667 NPPES
New Jersey Other 356690 MENTAL HEALTH PRACTITIONE

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