Provider Demographics
NPI:1629114251
Name:LONEY, STEPHEN ALEXANDER SR (LCAS)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:ALEXANDER
Last Name:LONEY
Suffix:SR
Gender:M
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3925 N DUKE ST
Mailing Address - Street 2:SUITE 123
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1780
Mailing Address - Country:US
Mailing Address - Phone:919-680-8833
Mailing Address - Fax:919-682-7469
Practice Address - Street 1:3925 N DUKE ST
Practice Address - Street 2:SUITE 123
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1780
Practice Address - Country:US
Practice Address - Phone:919-680-8833
Practice Address - Fax:919-682-7496
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC372101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)