Provider Demographics
NPI:1962561225
Name:SOFLEY, HAZEL MARIE (LPC, NCC, MAC, LCAS)
Entity type:Individual
Prefix:
First Name:HAZEL
Middle Name:MARIE
Last Name:SOFLEY
Suffix:
Gender:F
Credentials:LPC, NCC, MAC, LCAS
Other - Prefix:
Other - First Name:HAZEL
Other - Middle Name:S
Other - Last Name:HEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1986
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28145-1986
Mailing Address - Country:US
Mailing Address - Phone:704-636-9889
Mailing Address - Fax:
Practice Address - Street 1:420 STATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2318
Practice Address - Country:US
Practice Address - Phone:704-636-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1444101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor