Healthcare Provider Details

I. General information

NPI: 1447561709
Provider Name (Legal Business Name): RACHAEL LEE HURLEY MA, C.R.C., C.P.C.-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2010
Last Update Date: 07/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 HOPE AVE
WORCESTER MA
01603-2212
US

IV. Provider business mailing address

81 HOPE AVE
WORCESTER MA
01603-2212
US

V. Phone/Fax

Practice location:
  • Phone: 508-755-6147
  • Fax:
Mailing address:
  • Phone: 508-755-6147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: