Provider Demographics
NPI:1578151510
Name:DEVEAUX, D'ARCY A SR (TH D)
Entity Type:Individual
Prefix:
First Name:D'ARCY
Middle Name:A
Last Name:DEVEAUX
Suffix:SR
Gender:M
Credentials:TH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4286 DIANNE DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-6912
Mailing Address - Country:US
Mailing Address - Phone:901-219-4632
Mailing Address - Fax:
Practice Address - Street 1:4286 DIANNE DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-6912
Practice Address - Country:US
Practice Address - Phone:901-219-4632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty