Provider Demographics
NPI:1750952495
Name:MASSEY, DARNELL ANTHONY
Entity type:Individual
Prefix:
First Name:DARNELL
Middle Name:ANTHONY
Last Name:MASSEY
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 1:420 EVERGLADES BLVD S
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-3759
Mailing Address - Country:US
Mailing Address - Phone:412-927-7980
Mailing Address - Fax:
Practice Address - Street 1:420 EVERGLADES BLVD S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34117-3759
Practice Address - Country:US
Practice Address - Phone:412-927-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-04
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty