Healthcare Provider Details

I. General information

NPI: 1336659796
Provider Name (Legal Business Name): HURLEY COUNSELING AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 DAUPHIN ST
MOBILE AL
36606-1414
US

IV. Provider business mailing address

516 GRAND AVE
FAIRHOPE AL
36532-2730
US

V. Phone/Fax

Practice location:
  • Phone: 251-222-8880
  • Fax:
Mailing address:
  • Phone: 251-648-0437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3350
License Number StateAL

VIII. Authorized Official

Name: MR. ANDREW LAIRD HURLEY
Title or Position: OWNER/CLINICIAN
Credential: LPC
Phone: 251-648-0437