Healthcare Provider Details

I. General information

NPI: 1689582132
Provider Name (Legal Business Name): LEAH HURLEY.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6650 RIVERS AVE STE 100
NORTH CHARLESTON SC
29406-4809
US

IV. Provider business mailing address

104 CENTER ST
TAYLORS SC
29687-2424
US

V. Phone/Fax

Practice location:
  • Phone: 724-718-6620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number11181
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: