Stevey Demont Drake
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Moyock, NC
NPI 1013669860 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1013669860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 0709024549 (VA)
- Practice address
- 1803 Caratoke Hwy
Moyock, NC 27958-8908 - Phone
- (175) 780-9477
- NPI assigned
- Jan 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0709024549 | VA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0709024549 | VA | Yes |
Addresses
Primary practice location
1803 Caratoke Hwy
Moyock, NC 27958-8908
Mailing address
1803 Caratoke Hwy
Moyock, NC 27958-8908
Phone (252) 255-8392
Other providers in Moyock, NC
- Mackenzie Davenport
- Katelyn A Davis
- Dennis D. Gaskin, DDS, PA
- Emily Divers
- Donald Dean Dowdy Jr.
- Keyonia Driver
- Carrie Nicole Duchaine
- Keiana Dugger
- Lily Duong
- Latanya Edwards
All providers in Moyock, 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 24, 2022. 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.