Provider Demographics
NPI:1558721084
Name:PURCELL, HESTER (LCSW)
Entity Type:Individual
Prefix:
First Name:HESTER
Middle Name:
Last Name:PURCELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6338 WORTHINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-5576
Mailing Address - Country:US
Mailing Address - Phone:910-758-5617
Mailing Address - Fax:
Practice Address - Street 1:6338 WORTHINGTON DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-5576
Practice Address - Country:US
Practice Address - Phone:910-758-5617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0111031041C0700X
SC125321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical