Healthcare Provider Details

I. General information

NPI: 1801467188
Provider Name (Legal Business Name): HURD COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 LISBON ST STE 202
FORT WORTH TX
76107-5673
US

IV. Provider business mailing address

1905 RIO COSTILLA RD
FORT WORTH TX
76131-1655
US

V. Phone/Fax

Practice location:
  • Phone: 817-320-2094
  • Fax:
Mailing address:
  • Phone: 682-231-3656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANN SLAVICH HURD
Title or Position: LPC
Credential:
Phone: 817-320-2094