Michelle L Blanton, SUDRC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Boonville, NC
NPI 1013788231 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1013788231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 15478 (CA)
- Practice address
- 1006 Shawn Rodney Dr
Boonville, NC 27011-8694 - Phone
- (910) 382-4117
- NPI assigned
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15478 | CA | Yes |
Addresses
Primary practice location
1006 Shawn Rodney Dr
Boonville, NC 27011-8694
Mailing address
1006 Shawn Rodney Dr
Boonville, NC 27011-8694
Phone (910) 382-4117
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | kipuworks.com | Health Information Exchange (HIE) |
Other providers in Boonville, NC
- Care South Inc
- Carolina Residential Services, Inc.
- Carolina Residential Services, Inc.
- Kacey Victoria Cleary
- Angelia Howerton Cook
All providers in Boonville, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.