Provider Demographics
NPI:1508610536
Name:WEEKS-ALLEN, TOLANDO DARCELL (MSW, LCSW-A, LCAS-A)
Entity Type:Individual
Prefix:
First Name:TOLANDO
Middle Name:DARCELL
Last Name:WEEKS-ALLEN
Suffix:
Gender:F
Credentials:MSW, LCSW-A, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SHOOTING STAR TRL
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-3319
Mailing Address - Country:US
Mailing Address - Phone:919-749-5087
Mailing Address - Fax:
Practice Address - Street 1:6118 SAINT GILES ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7082
Practice Address - Country:US
Practice Address - Phone:919-910-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0168201041C0700X
NCLCAS-27816101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical