MR. KEVIN L DELOACH
NPI 1114159928
Clinic/Center - Adolescent and Children Mental Health in Fayetteville, NC

Active since August 12, 2009
6111 CONAWAY DR, FAYETTEVILLE, NC 28314(910) 512-6760 Get Directions Write a Review

NPPES record last updated: August 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kevin L Deloach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN L DELOACH (NPI 1114159928) is an individual adolescent and children mental health provider in Fayetteville, North Carolina and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1114159928
Entity TypeIndividualMale
Primary Taxonomy261QM0855X
Provider Legal NameMR. KEVIN L DELOACH
Location Address6111 CONAWAY DRFayetteville, NC 28314-2700
Mailing Address6111 Conaway DrFayetteville, NC 28314-2700
Sole ProprietorYes
Enumeration DateAugust 12, 2009
NPI 1114159928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

6111 CONAWAY DR, Fayetteville, NC 28314

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adolescent and Children Mental Health)
6111 CONAWAY DR
FAYETTEVILLE, NC 28314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Deloach's NPI number?

The NPI number for Kevin Deloach is 1114159928. It was assigned to this individual provider in the NPPES registry on August 12, 2009.

Where is Kevin Deloach located?

Kevin Deloach practices at 6111 Conaway Dr, Fayetteville, NC 28314. The listed phone number is (910) 512-6760.

What is Kevin Deloach's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Kevin Deloach was last updated on August 12, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.