Provider Demographics
NPI:1922843119
Name:SPURLIN, HALEY
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:SPURLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 SE MAYNARD RD STE 220
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4164
Mailing Address - Country:US
Mailing Address - Phone:919-377-0184
Mailing Address - Fax:
Practice Address - Street 1:1150 SE MAYNARD RD STE 220
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4164
Practice Address - Country:US
Practice Address - Phone:919-377-0184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19891101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional