Provider Demographics
NPI:1134910821
Name:MCADOO, DARRYL
Entity type:Individual
Prefix:
First Name:DARRYL
Middle Name:
Last Name:MCADOO
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:PO BOX 393
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-0393
Mailing Address - Country:US
Mailing Address - Phone:706-294-2963
Mailing Address - Fax:
Practice Address - Street 1:923 STAGE RD STE R
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5157
Practice Address - Country:US
Practice Address - Phone:334-329-7044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health