Healthcare Provider Details

I. General information

NPI: 1023241791
Provider Name (Legal Business Name): KATHRYN J HURT M.A., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KJ HURT M.A., LPC

II. Dates (important events)

Enumeration Date: 08/28/2009
Last Update Date: 03/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6204 BLACKSTONE DR
MCKINNEY TX
75070-7808
US

IV. Provider business mailing address

6204 BLACKSTONE DR
MCKINNEY TX
75070-7808
US

V. Phone/Fax

Practice location:
  • Phone: 214-802-3168
  • Fax: 801-848-3168
Mailing address:
  • Phone: 214-802-3168
  • Fax: 801-848-3168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number65565
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: