Healthcare Provider Details

I. General information

NPI: 1194397711
Provider Name (Legal Business Name): DARCY DEYLING LMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E 8TH ST
PORT ANGELES WA
98362-6129
US

IV. Provider business mailing address

118 E 8TH ST
PORT ANGELES WA
98362-6129
US

V. Phone/Fax

Practice location:
  • Phone: 360-452-0431
  • Fax: 360-457-0493
Mailing address:
  • Phone: 360-452-0431
  • Fax: 360-457-0493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: