Healthcare Provider Details

I. General information

NPI: 1821524463
Provider Name (Legal Business Name): ERICA HURTT LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2017
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 LOREWOOD AVENUE
WILMINGTON DE
19804
US

IV. Provider business mailing address

214 LOREWOOD AVE
WILMINGTON DE
19804-1417
US

V. Phone/Fax

Practice location:
  • Phone: 302-319-2883
  • Fax:
Mailing address:
  • Phone: 301-395-7340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0000762
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: