Provider Demographics
NPI:1184065575
Name:SEARCY, WILLIAM HOWARD (DMIN)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HOWARD
Last Name:SEARCY
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 OLD COLONY WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-3567
Mailing Address - Country:US
Mailing Address - Phone:252-305-4880
Mailing Address - Fax:252-558-0815
Practice Address - Street 1:700 BROOKS AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-4132
Practice Address - Country:US
Practice Address - Phone:252-305-4880
Practice Address - Fax:252-558-0815
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-12
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral