Provider Demographics
NPI:1417259870
Name:MCDIARMID, NANCY DALE (LPC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:DALE
Last Name:MCDIARMID
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3970 HENRY KAYLOR LN
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:NC
Mailing Address - Zip Code:28630-7551
Mailing Address - Country:US
Mailing Address - Phone:828-234-4540
Mailing Address - Fax:828-728-7474
Practice Address - Street 1:3970 HENRY KAYLOR LN
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-7551
Practice Address - Country:US
Practice Address - Phone:828-234-4540
Practice Address - Fax:828-728-7474
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-17
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8184101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002457Medicaid