Healthcare Provider Details

I. General information

NPI: 1952988032
Provider Name (Legal Business Name): EMILY HURST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 E DRY CREEK ROAD SUIT 170
CENTENNIAL CO
80122
US

IV. Provider business mailing address

1152 SAVANNAH SPARROW DR
HIGHLANDS RANCH CO
80129-5629
US

V. Phone/Fax

Practice location:
  • Phone: 855-593-4357
  • Fax:
Mailing address:
  • Phone: 855-593-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0019380
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: