Individual
HARRY LEE SPURLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMFT LPCMHSP LSPE
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604
(423) 232-2700
(423) 232-2714
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
420
TN
103T00000X
Psychologist
LSPE137
TN
106H00000X
Marriage & Family Therapist
LMFT163
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010149339
VIRGINIA MEDICAID WATAUGA
—
01
—
010149428
VIRGINIA MEDICAID CTC
—
01
—
1047963
CIGNA MCC
—
01
—
12900
UBH HEALTHPLAN
—
01
—
250190
ANTHEM PROF TRIGON
—
01
—
3070480
MAGELLAN NAVIGATOR
—
01
—
334969
VALUEOPTIONS GROUP
—
01
—
620582605
INITIAL GROUP GROUP
—
Enumeration date
09/12/2006
Last updated
10/11/2019
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