DELVON STALEY LPC, LMAC
NPI 1649542176
Counselor - Professional in Wichita, KS
- Individual
- Male
- Counselor
- Professional
About DELVON STALEY
This page provides the complete NPI Profile along with additional information for Delvon Staley, a provider established in Wichita, Kansas with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1649542176 assigned on January 2012. The practitioner's primary taxonomy code is 101YP2500X with license number 3195 (KS). The provider is registered as an individual and his NPI record was last updated 8 years ago.
- NPI
- 1649542176 Verify this NPI
- Provider Name
- DELVON STALEY LPC, LMAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 350 S BROADWAY AVE WICHITA, KS 67202
- Location Phone
- (316) 660-9600
- Location Fax
- (316) 660-9660
- Mailing Address
- 271 W 3RD ST N STE 600 WICHITA, KS 67202
- Mailing Phone
- (316) 660-7600
- Mailing Fax
- (316) 941-5075
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-30-2012
- Last Update Date
- 04-05-2018
- Code Navigator
Location Map
Secondary Locations
- 572 S Oliver St
Wichita, KS 67218
(316) 734-6237
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3195
- License State
- KS
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 327 (KS) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649542176, enumerated as an "individual" on January 30, 2012.
The provider is located at 350 S BROADWAY AVE WICHITA, KS 67202 and the phone number is (316) 660-9600.
Counselor with taxonomy code 101YP2500X and a focus in Professional.