Blue, Destiny Faatima Tiera

Blue, Destiny Faatima Tiera is an individual health care provider with primary practice located at 5856 Corner Oaks Dr , Hope Mills NC 28348-9355. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Blue, Destiny Faatima Tiera can be contacted via phone (910) 977-7598.

Contact Information

Primary practice address
5856 Corner Oaks Dr Hope Mills NC 28348-9355
Phone: (910) 977-7598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-27727 North Carolina

Profile Details

NPI number 1265161095
LBN Legal business name Blue, Destiny Faatima Tiera
Credentials MSW, LCSW-A, LCAS-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2022
Last updated Jun 7th, 2022 - about 2 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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