Healthcare Provider Details

I. General information

NPI: 1164056594
Provider Name (Legal Business Name): EMMA HOGANFURR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMMA FURR

II. Dates (important events)

Enumeration Date: 02/25/2020
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 PHILADELPHIA ST
COVINGTON KY
41011-1239
US

IV. Provider business mailing address

526 PHILADELPHIA ST
COVINGTON KY
41011-1239
US

V. Phone/Fax

Practice location:
  • Phone: 859-328-2593
  • Fax:
Mailing address:
  • Phone: 859-328-2593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404643
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: