Provider Demographics
NPI:1871306639
Name:DELEON, DARLA LEIGH (LADAC, NIP, CPRS)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:LEIGH
Last Name:DELEON
Suffix:
Gender:F
Credentials:LADAC, NIP, CPRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 NORTHGATE DR
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-1454
Mailing Address - Country:US
Mailing Address - Phone:931-271-8267
Mailing Address - Fax:615-410-7574
Practice Address - Street 1:113 NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1454
Practice Address - Country:US
Practice Address - Phone:931-271-8267
Practice Address - Fax:615-410-7574
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)