Provider Demographics
NPI:1063724896
Name:MANNING, DARRELL WAYNE (LCAS,CACII,CCS)
Entity type:Individual
Prefix:
First Name:DARRELL
Middle Name:WAYNE
Last Name:MANNING
Suffix:
Gender:M
Credentials:LCAS,CACII,CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 CHATUGE LN
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-6327
Mailing Address - Country:US
Mailing Address - Phone:828-317-1060
Mailing Address - Fax:
Practice Address - Street 1:577 REGAL ST
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-9039
Practice Address - Country:US
Practice Address - Phone:828-317-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS.1660101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)