Healthcare Provider Details

I. General information

NPI: 1184065575
Provider Name (Legal Business Name): WILLIAM HOWARD SEARCY D.MIN.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BROOKS AVE
RALEIGH NC
27607-4132
US

IV. Provider business mailing address

212 OLD COLONY WAY
ROCKY MOUNT NC
27804-3567
US

V. Phone/Fax

Practice location:
  • Phone: 252-305-4880
  • Fax: 252-558-0815
Mailing address:
  • Phone: 252-305-4880
  • Fax: 252-558-0815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number94
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: