Healthcare Provider Details

I. General information

NPI: 1467827469
Provider Name (Legal Business Name): JANICE LEE HURT LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LAHAINA DR
ODESSA TX
79762-4908
US

IV. Provider business mailing address

125 LAHAINA DR
ODESSA TX
79762-4908
US

V. Phone/Fax

Practice location:
  • Phone: 512-658-8298
  • Fax: 432-552-8283
Mailing address:
  • Phone: 512-658-8298
  • Fax: 432-552-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number60157
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: