Provider Demographics
NPI:1487923538
Name:SPURLIN, MARY EDEN (MA, LPC, CAMS-I)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:EDEN
Last Name:SPURLIN
Suffix:
Gender:F
Credentials:MA, LPC, CAMS-I
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:ROYALS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1556
Mailing Address - Street 2:
Mailing Address - City:HAWKINS
Mailing Address - State:TX
Mailing Address - Zip Code:75765
Mailing Address - Country:US
Mailing Address - Phone:615-500-8708
Mailing Address - Fax:
Practice Address - Street 1:240 S FM 2869
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494
Practice Address - Country:US
Practice Address - Phone:903-200-4455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-19
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TX73627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor