Individual
HAYLIE PARKS OHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LCMHC, LCAS
Contact information
Practice address
4874 BEECH TREE DR SE, SOUTHPORT, NC 28461-7460
(910) 442-8186
Mailing address
4874 BEECH TREE DR SE, SOUTHPORT, NC 28461-7460
(910) 442-8186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-27071
NC
101YM0800X
Mental Health Counselor
Primary
A16231
NC
101YP2500X
Professional Counselor
A16231
NC
Other
Enumeration date
04/27/2021
Last updated
01/11/2024
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