Provider Demographics
NPI:1831660224
Name:PURSLEY, CARRIE N
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:N
Last Name:PURSLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 VESTAVIA PKWY STE 2400
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-3797
Mailing Address - Country:US
Mailing Address - Phone:205-490-5364
Mailing Address - Fax:
Practice Address - Street 1:200 VESTAVIA PKWY STE 2400
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-3797
Practice Address - Country:US
Practice Address - Phone:205-490-5364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst