Healthcare Provider Details

I. General information

NPI: 1285960484
Provider Name (Legal Business Name): MARY BETH HURLBERT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 W MINERAL KING AVE
VISALIA CA
93291-5819
US

IV. Provider business mailing address

1510 W MINERAL KING AVE
VISALIA CA
93291-5819
US

V. Phone/Fax

Practice location:
  • Phone: 820-202-0353
  • Fax:
Mailing address:
  • Phone: 820-202-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number185040
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1809
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: