Individual
HALEY PEGRAM QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
6614 SHALLOWFORD RD, LEWISVILLE, NC 27023-9303
(336) 934-5519
Mailing address
5126 WALLBURG RD, WINSTON SALEM, NC 27107-9598
(336) 682-1474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17934
NC
101YP2500X
Professional Counselor
17934
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164111985
—
NC
Enumeration date
05/08/2023
Last updated
03/21/2026
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