HALEY PEGRAM QUICK LCMHCA NPI 1164111985

NPI Information

  • NPI: 1164111985
  • Provider Name: HALEY PEGRAM QUICK, LCMHCA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2554 LEWISVILLE CLEMMONS RD STE 112
    CLEMMONS, NC
    ZIP 27012
  • Phone: (336) 283-2510

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NPI Details

Haley Pegram Quick, LCMHCA is a mental health counselor in Clemmons, NC with 5 years of experience. Haley Pegram Quick, LCMHCA NPI is 1164111985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2554 LEWISVILLE CLEMMONS RD STE 112
CLEMMONS, NC
ZIP 27012-927
Phone: (336) 283-2510
Fax: (336) 776-0091

The NPI 1164111985 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/8/2023 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional17934NORTH CAROLINANo
2101YM0800XCounselorMental Health17934NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11164111985MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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