Halley, Gustavo R.

Halley, Gustavo R. is an sole proprietor health care provider with primary practice located at 8601 Six Forks Rd Ste 400 , Raleigh NC 27615-5276. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Health Service is his primary health care specialty. Halley, Gustavo R. can be contacted via phone (919) 356-1739.

Contact Information

Primary practice address
8601 Six Forks Rd Ste 400 Raleigh NC 27615-5276
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1194 Maine
Behavioral Health & Social Service Providers / Clinical 103TC0700X 02002 Puerto Rico
Behavioral Health & Social Service Providers / Health Service 103TH0100X 6320 North Carolina

Profile Details

NPI number 1316011547
LBN Legal business name Halley, Gustavo R.
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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