Healthcare Provider Details
I. General information
NPI: 1972413375
Provider Name (Legal Business Name): PATTI DARLING-RULAND CPSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8363 CHATSWORTH DR
INDIAN LAND SC
29707-1572
US
IV. Provider business mailing address
8363 CHATSWORTH DR
INDIAN LAND SC
29707-1572
US
V. Phone/Fax
- Phone: 607-759-7024
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | 2026-17762-01 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: