Individual
MS. VIRGINIA L. HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2317 EXECUTIVE CIR, PERSONALIZED THERAPY, INC., GREENVILLE, NC 27834-3762
(252) 353-4968
(252) 353-4967
Mailing address
104 BAYTREE DR, GREENVILLE, NC 27858-6107
(252) 258-1944
(252) 353-4967
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C000663
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13293
BCBS NC
NC
05
—
6002413
—
NC
01
—
800013622
RAILROAD MEDICARE
NC
Enumeration date
01/06/2006
Last updated
03/08/2011
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