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DEANDRE JERMAINE MCCOY
NPI 1902393572
Counselor - Addiction (Substance Use Disorder) in Raleigh, NC

Active since April 18, 2018
3950 FAIRSTED DR APT 618, RALEIGH, NC 27612(252) 259-6459 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deandre Jermaine Mccoy NPPES

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

DEANDRE JERMAINE MCCOY (NPI 1902393572) is an individual addiction (substance use disorder) provider in Raleigh, North Carolina and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1902393572
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEANDRE JERMAINE MCCOY
Location Address3950 FAIRSTED DR APT 618Raleigh, NC 27612-4590
Mailing Address3950 Fairsted Dr Apt 618Raleigh, NC 27612-4590 · (252) 259-6459
Phone(252) 259-6459
Sole ProprietorYes
Enumeration DateApril 18, 2018
✔ NPI 1902393572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3950 FAIRSTED DR APT 618, Raleigh, NC 27612
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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 Deandre Mccoy's NPI number?

The NPI number for Deandre Mccoy is 1902393572. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Deandre Mccoy located?

Deandre Mccoy practices at 3950 Fairsted Dr Apt 618, Raleigh, NC 27612. The listed phone number is (252) 259-6459.

What is Deandre Mccoy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Deandre Mccoy was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.