Provider Demographics
NPI:1184950230
Name:ARLINE, DARRELL
Entity type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:
Last Name:ARLINE
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 1:9111 LAKES AT 610 DR APT 228
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2407
Mailing Address - Country:US
Mailing Address - Phone:713-456-0686
Mailing Address - Fax:
Practice Address - Street 1:9111 LAKES AT 610 DR APT 228
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2407
Practice Address - Country:US
Practice Address - Phone:713-456-0686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health