Healthcare Provider Details

I. General information

NPI: 1629257456
Provider Name (Legal Business Name): BARBARA A. HURST M.ED., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 09/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 N VELASCO ST SUITE 300
ANGLETON TX
77515-3179
US

IV. Provider business mailing address

2512 N VELASCO ST SUITE 300
ANGLETON TX
77515-3179
US

V. Phone/Fax

Practice location:
  • Phone: 979-549-0955
  • Fax: 979-848-8091
Mailing address:
  • Phone: 979-549-0955
  • Fax: 979-848-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20063
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: