Provider Demographics
NPI:1487893954
Name:FURR, LARRY M (MAC, NCC, LPC)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:M
Last Name:FURR
Suffix:
Gender:M
Credentials:MAC, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 GRAND BAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117
Mailing Address - Country:US
Mailing Address - Phone:704-756-0317
Mailing Address - Fax:
Practice Address - Street 1:3101 DAVIDSON HWY
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-7850
Practice Address - Country:US
Practice Address - Phone:704-756-0317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7225101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor