Provider Demographics
NPI:1396531398
Name:HALCYON COUNSELING AND PSYCHOTHERAPY
Entity type:Organization
Organization Name:HALCYON COUNSELING AND PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NUR
Authorized Official - Middle Name:BANU
Authorized Official - Last Name:IBAOGLU VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:470-223-5139
Mailing Address - Street 1:817 KAY ST NE
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-3851
Mailing Address - Country:US
Mailing Address - Phone:470-223-5139
Mailing Address - Fax:
Practice Address - Street 1:6000 LAKE FORREST DR STE 520
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-3879
Practice Address - Country:US
Practice Address - Phone:470-223-5139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty