Healthcare Provider Details

I. General information

NPI: 1831342120
Provider Name (Legal Business Name): STACEY HURT M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4521 CHADWICK RD STE 2
CEDAR FALLS IA
50613-8045
US

IV. Provider business mailing address

4521 CHADWICK RD STE 2
CEDAR FALLS IA
50613-8045
US

V. Phone/Fax

Practice location:
  • Phone: 319-239-3533
  • Fax: 888-972-4788
Mailing address:
  • Phone: 319-239-3533
  • Fax: 888-972-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number001595
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: