Healthcare Provider Details

I. General information

NPI: 1881407617
Provider Name (Legal Business Name): LINDSEY ANNE HURLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25403 WINDING WILLOW LN
SPRING TX
77373-6048
US

IV. Provider business mailing address

25403 WINDING WILLOW LN
SPRING TX
77373-6048
US

V. Phone/Fax

Practice location:
  • Phone: 832-928-5936
  • Fax:
Mailing address:
  • Phone: 832-928-5936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number13994840-6009
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: