Provider Demographics
NPI:1801586995
Name:DARDEN, SHIRLEY (LCPC, LPC)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:DARDEN
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 CYPRESSTREE DR
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-6310
Mailing Address - Country:US
Mailing Address - Phone:301-943-4367
Mailing Address - Fax:
Practice Address - Street 1:1104 CYPRESSTREE DR
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-6310
Practice Address - Country:US
Practice Address - Phone:301-943-4367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12987101YM0800X
VA0701012410101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health