Provider Demographics
NPI:1235233933
Name:SPURLING, HARRY LEE (MA LMFT LPCMHSP LSPE)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:LEE
Last Name:SPURLING
Suffix:
Gender:M
Credentials:MA LMFT LPCMHSP LSPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1167 SPRATLIN PARK DR
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-6205
Mailing Address - Country:US
Mailing Address - Phone:423-467-3600
Mailing Address - Fax:423-467-3644
Practice Address - Street 1:109 W WATAUGA AVE
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604
Practice Address - Country:US
Practice Address - Phone:423-232-2700
Practice Address - Fax:423-232-2714
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSPE137103T00000X
TNLMFT163106H00000X
TN420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12900OtherUBH HEALTHPLAN
12900OtherUBH JOHN DEERE
3070480OtherMAGELLAN NAVIGATOR
620582605OtherINITIAL GROUP GROUP
010149428OtherVIRGINIA MEDICAID CTC
1047963OtherCIGNA MCC
250190OtherANTHEM PROF TRIGON
334969OtherVALUEOPTIONS GROUP
620582605OtherCARITEN PHP HMO
3070480OtherMAGELLAN SUMMIT
010149339OtherVIRGINIA MEDICAID WATAUGA
12900OtherUBH SENIOR
620582605OtherCARITEN PHP POS
12900OtherUBH EMPLOYER
620582605OtherCARITEN PHP PPO
250190OtherANTHEM PREF TRIGON
620582605OtherCARITEN PHP WORKCO
620582605OtherBEECH STREET