Provider Demographics
NPI:1134606312
Name:MCCANTS, DARIUS JAMAR
Entity type:Individual
Prefix:MR
First Name:DARIUS
Middle Name:JAMAR
Last Name:MCCANTS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 THIMBLE SHOALS BLVD
Mailing Address - Street 2:STE 704 BOX 9
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606
Mailing Address - Country:US
Mailing Address - Phone:757-223-1583
Mailing Address - Fax:757-223-1502
Practice Address - Street 1:739 THIMBLE SHOALS BLVD STE 704
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3586
Practice Address - Country:US
Practice Address - Phone:757-223-1583
Practice Address - Fax:757-223-1502
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health