Provider Demographics
NPI:1124514781
Name:GURLEY, DAYNA NOEL (LCSW)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:NOEL
Last Name:GURLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22022 EMERALD RUN LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6353
Mailing Address - Country:US
Mailing Address - Phone:832-875-2062
Mailing Address - Fax:281-946-8474
Practice Address - Street 1:11929 UNIVERSITY BLVD STE 2F
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4757
Practice Address - Country:US
Practice Address - Phone:281-829-8431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-07
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61814104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX61814OtherTEXAS HEALTH AND HUMAN SERVICES - TEXAS STATE BOARD OF SOCIAL WORK EXAMINERS