Provider Demographics
NPI:1568493492
Name:DARBY, NANCY GORDON (MED MAC MFT DOTSAP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:GORDON
Last Name:DARBY
Suffix:
Gender:F
Credentials:MED MAC MFT DOTSAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PRESS LINDLER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-8011
Mailing Address - Country:US
Mailing Address - Phone:803-407-7661
Mailing Address - Fax:803-407-7661
Practice Address - Street 1:120 PRESS LINDLER RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-8011
Practice Address - Country:US
Practice Address - Phone:803-407-7661
Practice Address - Fax:803-407-7661
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist