Mcallister, Darryl X
Mcallister, Darryl X is an sole proprietor health care provider with primary practice located at 3581 Lackey St , Lumberton NC 28360-9048. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mcallister, Darryl X can be contacted via phone (910) 738-1587.Contact Information
Primary practice address
3581 Lackey St
Lumberton NC 28360-9048
Phone: (910) 738-1587
Fax: (910) 738-1581
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C00269 | North Carolina |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-1610 | North Carolina |
Profile Details
NPI number | 1720277767 |
---|---|
LBN Legal business name | Mcallister, Darryl X |
Credentials | PHD, LCSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 16th, 2007 |
Last updated | Jun 23rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720277767 | NPPES |
North Carolina | Other | 55400 | BCBS NC |
North Carolina | MEDICAID | 6002598 | BCBS NC |
North Carolina | MEDICAID | 6002928 | BCBS NC |
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