Healthcare Provider Details

I. General information

NPI: 1174050678
Provider Name (Legal Business Name): H & M THERAPY SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 05/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 SEMINOLA BLVD UNIT 112
CASSELBERRY FL
32707-3642
US

IV. Provider business mailing address

19762 GLEN ELM WAY
ORLANDO FL
32833-3741
US

V. Phone/Fax

Practice location:
  • Phone: 407-325-0985
  • Fax:
Mailing address:
  • Phone: 386-451-0768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH7702
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-3219
License Number StateFL

VIII. Authorized Official

Name: DR. KATHY LEE HURLEY
Title or Position: OWNER/PRESIDENT
Credential: PHD, LMHC, BCBA-D
Phone: 407-325-0985