Provider Demographics
NPI:1568983534
Name:SELLERS, HAILEY HARRIS (MSW, LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:HARRIS
Last Name:SELLERS
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:MORGAN
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8963 AVON ST NE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-8935
Mailing Address - Country:US
Mailing Address - Phone:919-691-2503
Mailing Address - Fax:855-857-7333
Practice Address - Street 1:230 GOVERNMENT CENTER DR STE 165
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-1732
Practice Address - Country:US
Practice Address - Phone:919-691-2503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0114871041C0700X
NCC0122881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical