Healthcare Provider Details

I. General information

NPI: 1194687418
Provider Name (Legal Business Name): REANN HURST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 11/25/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 B EAST MAIN STREET
NORWALK OH
44857-1320
US

IV. Provider business mailing address

51 B EAST MAIN STREET
NORWALK OH
44857-1320
US

V. Phone/Fax

Practice location:
  • Phone: 419-775-3835
  • Fax: 888-754-8387
Mailing address:
  • Phone: 419-775-3835
  • Fax: 888-754-8387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1700585
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: