Organization Name: | DARCIE EVANS LICSW COUNSELING SERVICES |
NPI Number: | 1588091441 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARCIE L EVANS (MANAGING MEMBER) |
Mailing Address: | 67 Goldfinch Dr Nantucket |
State: | MA US |
Postal Code: | 025546008 |
Phone Number: | 5088252552 |
Fax Number: | 5088250831 |
NPI Enumeration Date: | 10/08/2013 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 110335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |