Basic Information
| Provider Information | |||||||||
| NPI: | 1851013981 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOUSLEY | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | LCSW-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6109 FOUR OAKS CT | ||||||||
| Address2: | |||||||||
| City: | SUMMERFIELD | ||||||||
| State: | NC | ||||||||
| PostalCode: | 273589247 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8018793297 | ||||||||
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| Practice Location | |||||||||
| Address1: | 102 CHESTNUT DR | ||||||||
| Address2: | |||||||||
| City: | HIGH POINT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272626804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368865594 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2022 | ||||||||
| LastUpdateDate: | 09/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | P018214 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.