DARRYL GLEN FUNK (NPI# 1568612679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568612679 |
| Entity Type | Individual |
| Full Name | DARRYL GLEN FUNK |
| Credential | LSATP |
| Practice Address |
521 N Quincy St Arlington VA 22203-2136 |
| Mailing Address |
521 N Quincy St. Arlington VA 22203-1785 |
| Practice Telephone | 7038410703 |
| Practice Fax Number | 7038412316 |
| Mailing Telephone | 7038410703 |
| Mailing Fax Number | 7038412316 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | VA | Residential Treatment Facilities | |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 0718000027 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1558415968 | 05 |
| Street Address |
521 N QUINCY ST |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22203-2136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407006687 | Patricia Mcclintock Schneeman | Counselor | 521 N Quincy St, Arlington, VA 22203-2136 | 2008-09-24 |
| 1265891006 | Phoenix Houses of The Mid-atlantic, Inc | Substance Abuse Rehabilitation Facility | 521 N Quincy St, Arlington, VA 22203-2136 | 2016-02-22 |
| 1629379722 | Ihsan J Warren | Social Worker | 521 N Quincy St, Arlington, VA 22203-2136 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1174016190 | Bilal Rasool Chaudhry | Dentist | 801 N Quincy St Ste 110, Arlington, VA 22203 | 2018-06-13 |
| 1861993479 | Ballston Dental Arts, Pllc | Dentist | 900 N Taylor Street #150, Arlington, VA 22203 | 2018-02-28 |
| 1790293256 | Hawah Yahoh Conteh | Occupational Therapist | 900 North Taylor Street, Arlington, VA 22203 | 2018-01-18 |
| 1992237911 | Annyck Besso | Dietitian, Registered | 4250 Fairfax Dr Ste 600, Arlington, VA 22203 | 2017-03-29 |
| 1093267221 | Wilhelmina Dres | Physical Therapy Assistant | 3821 Wilson Blvd., Arlington, VA 22203 | 2016-11-04 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1013313501 | Michelle May | Counselor | 4601 N Fairfax Dr, Suite 1200, Arlington, VA 22203 | 2014-11-10 |
| 1346685567 | Maggie Lyles | Family Medicine | 200 N Glebe Rd Ste 300, Arlington, VA 22203 | 2013-05-01 |
| Find all providers in zip 22203 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619514957 | Volunteers of America Chesapeake, Inc. | Substance Abuse Rehabilitation Facility | 1554 Columbia Pike, Arlington, VA 22204-4667 | 2019-12-05 |
| 1326699927 | Caron Marc LLC | Substance Abuse Rehabilitation Facility | 4600 Fairfax Dr Ste 906, Arlington, VA 22203-1553 | 2019-09-25 |
| 1871995126 | Phoenix Houses of The Mid Atlantic, Inc. | Substance Abuse Rehabilitation Facility | 4317 6th St S, Confidential Address for Safety Reasons Do Not Publish, Arlington, VA 22204-1411 | 2014-09-18 |
| 1265891006 | Phoenix Houses of The Mid-atlantic, Inc | Substance Abuse Rehabilitation Facility | 521 N Quincy St, Arlington, VA 22203-2136 | 2016-02-22 |
| 1801129754 | Stillaguamish Tribe of Indians | Substance Abuse Rehabilitation Facility | 21123 Smokey Point Blvd, Arlington, WA 98223-4224 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009765 | The Recovery Connection LLC | Substance Abuse Rehabilitation Facility | 2832 Saratoga Dr, Winchester, VA 22601-2622 | 2020-06-25 |
| 1457976631 | Dunamis Garden Counseling Services | Substance Abuse Rehabilitation Facility | 1576 Oakland Chase Pkwy, Henrico, VA 23231-5736 | 2020-06-12 |
| 1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
| 1063052579 | Landmark Recovery of Norfolk LLC | Substance Abuse Rehabilitation Facility | 1516 Harmon St, Norfolk, VA 23518-4056 | 2020-01-13 |
| 1184188641 | The Bridge Ministry, Inc. | Substance Abuse Rehabilitation Facility | 3054 Dixie Hill Rd, Buckingham, VA 23921-3017 | 2019-01-29 |
| 1316427214 | Virginia Health Operations LLC | Substance Abuse Rehabilitation Facility | 1318 Kurtz Rd, Mc Lean, VA 22101-4017 | 2018-08-20 |
| 1740766161 | Community Wellness & Support, LLC | Substance Abuse Rehabilitation Facility | 34 Medical Park Blvd Ste A, Petersburg, VA 23805-9283 | 2018-07-18 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1710418447 | Phc of Virginia, LLC | Substance Abuse Rehabilitation Facility | 120 Roanoke Blvd, Salem, VA 24153-4908 | 2017-03-24 |
| 1699135244 | Center for Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 13885 Hedgewood Dr Ste 349, Woodbridge, VA 22193-7933 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.