Healthcare Provider Details

I. General information

NPI: 1821878927
Provider Name (Legal Business Name): DEBORAH KIM MARIE HURFORD PHD, MFA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

581 NW 75TH AVE
PLANTATION FL
33317-1040
US

IV. Provider business mailing address

581 NW 75TH AVE
PLANTATION FL
33317-1040
US

V. Phone/Fax

Practice location:
  • Phone: 954-683-3038
  • Fax:
Mailing address:
  • Phone: 954-683-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3998
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: