Healthcare Provider Details

I. General information

NPI: 1477404689
Provider Name (Legal Business Name): DARIUS ANTOINE WRIGHT MAED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 DAVIS AVE
WHITEVILLE NC
28472-6002
US

IV. Provider business mailing address

PO BOX 462
ROWLAND NC
28383-0462
US

V. Phone/Fax

Practice location:
  • Phone: 910-640-1038
  • Fax:
Mailing address:
  • Phone: 910-674-9911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22539
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: