Provider Demographics
NPI:1649049099
Name:DURAN, DARLENE (MHC-LP)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:DURAN
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 MARBLEDALE RD
Mailing Address - Street 2:
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-1809
Mailing Address - Country:US
Mailing Address - Phone:914-318-1354
Mailing Address - Fax:
Practice Address - Street 1:268 MARBLEDALE RD
Practice Address - Street 2:
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-1809
Practice Address - Country:US
Practice Address - Phone:914-318-1354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP120487101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health