Healthcare Provider Details

I. General information

NPI: 1689190720
Provider Name (Legal Business Name): CHARTIA HURT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 DIXIE PLAZA
NATCHITOCHES LA
71457
US

IV. Provider business mailing address

430 DIXIE PLZ
NATCHITOCHES LA
71457-5881
US

V. Phone/Fax

Practice location:
  • Phone: 318-357-9009
  • Fax:
Mailing address:
  • Phone: 318-357-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: