Healthcare Provider Details

I. General information

NPI: 1245151927
Provider Name (Legal Business Name): DARCY LORD-EVANS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1058 PRESTWOOD DR SE
LENOIR NC
28645-5936
US

IV. Provider business mailing address

1058 PRESTWOOD DR SE
LENOIR NC
28645-5936
US

V. Phone/Fax

Practice location:
  • Phone: 828-962-0518
  • Fax:
Mailing address:
  • Phone: 828-962-0518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21922
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: