Provider Demographics
NPI:1053392001
Name:DARLING, DENISE LYNN (MS)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:LYNN
Last Name:DARLING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:L
Other - Last Name:BUIKEMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS LMFT
Mailing Address - Street 1:200 N 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17046-5040
Mailing Address - Country:US
Mailing Address - Phone:717-273-1710
Mailing Address - Fax:717-273-1416
Practice Address - Street 1:6079 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAST PETERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17520-1267
Practice Address - Country:US
Practice Address - Phone:717-560-1908
Practice Address - Fax:717-560-4941
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1253106H00000X
PAMF-000596106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN549152500Medicaid
MN136218OtherUCARE