MEDICARE: DAYNA NOEL GURLEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	61814	TX
2	1041C0700X	Clinical Social Worker	61814	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61814	OTHER	TX	TEXAS HEALTH AND HUMAN SERVICES - TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS

General Provider Information

NPI Number	:	1124514781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAYNA NOEL GURLEY LCSW

Provider Business Mailing Address
First Line	:	22022 EMERALD RUN LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-6353
Country	:	US
Telephone Number	:	832-875-2062
Fax Number	:	281-946-8474

Provider Business Practice Location Address
First Line	:	11929 UNIVERSITY BLVD STE 2F
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4757
Country	:	US
Telephone Number	:	281-829-8431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2018
Last Update Date	:	06/24/2022

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Directions to “ DAYNA NOEL GURLEY LCSW” Practice Location

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