Provider Demographics
NPI:1295473742
Name:SUITS, DAPHNE CAROLINE (LCMHCA)
Entity type:Individual
Prefix:
First Name:DAPHNE
Middle Name:CAROLINE
Last Name:SUITS
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4016 DARROW DR
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9649
Mailing Address - Country:US
Mailing Address - Phone:910-880-1922
Mailing Address - Fax:
Practice Address - Street 1:1133 MILITARY CUTOFF RD STE 110
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4403
Practice Address - Country:US
Practice Address - Phone:910-516-8003
Practice Address - Fax:910-338-0129
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17583101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor