Provider Demographics
NPI:1871810929
Name:STANLEY, DARLENE KAY (LPC)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:KAY
Last Name:STANLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1515
Mailing Address - Country:US
Mailing Address - Phone:336-274-5577
Mailing Address - Fax:336-274-5401
Practice Address - Street 1:2201 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1515
Practice Address - Country:US
Practice Address - Phone:336-274-5577
Practice Address - Fax:336-274-5401
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health