Individual
MS. DEVIN ELISE BLACK-DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 852-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
289
SC
1041C0700X
Clinical Social Worker
Primary
18108
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
05/29/2012
Last updated
08/01/2025
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