Provider Demographics
NPI:1962443630
Name:BLOSS, DARCI D (LPC, LCPC, LPC-MHSP,)
Entity Type:Individual
Prefix:MRS
First Name:DARCI
Middle Name:D
Last Name:BLOSS
Suffix:
Gender:F
Credentials:LPC, LCPC, LPC-MHSP,
Other - Prefix:MS
Other - First Name:DARCI
Other - Middle Name:D
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:5532 HEIRLOOM DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-0682
Mailing Address - Country:US
Mailing Address - Phone:239-565-9175
Mailing Address - Fax:
Practice Address - Street 1:745 S CHURCH ST BLDG A
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4984
Practice Address - Country:US
Practice Address - Phone:239-565-9175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008348101YP2500X
PAPC010667101YP2500X
VA0701009326101YP2500X, 101YP2500X
TN6006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional