Darryl Jones
Individual provider Active NPI Community/Behavioral Health Agency · Archdale, NC
NPI 1447724786 · NPPES record last updated Feb 25, 2022
Key facts
- NPI
- 1447724786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 6136 Ashbrook Circle
Archdale, NC 27263-2726 - Phone
- (336) 633-9820
- NPI assigned
- Jan 21, 2019
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
6136 Ashbrook Circle
Archdale, NC 27263-2726
Mailing address
3304 Rehobeth Church Rd Apt K
Greensboro, NC 27406-5036
Phone (336) 686-9820
Other providers in Archdale, NC
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- Chris Jones
- Jene F Jordan
- Garry Ray Kearns
- Ashley Faith Keever
- Cameron Stevens Kiker
- Tiffani Knight-Lynch
All providers in Archdale, NC · Community/Behavioral Health Agency 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 Feb 25, 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.