Healthcare Provider Details

I. General information

NPI: 1780628800
Provider Name (Legal Business Name): HOLLYE HURST PHD,MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 CLAYTON ST
ASHEVILLE NC
28801-2423
US

IV. Provider business mailing address

10 CRESTVIEW ST
ASHEVILLE NC
28803-1311
US

V. Phone/Fax

Practice location:
  • Phone: 828-301-4841
  • Fax:
Mailing address:
  • Phone: 828-301-4841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1033
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: