Healthcare Provider Details

I. General information

NPI: 1447044128
Provider Name (Legal Business Name): AMBER HADLEY HURST M.ED, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22802 ROSEHOLLOW TRL
TOMBALL TX
77377-3579
US

IV. Provider business mailing address

22802 ROSEHOLLOW TRL
TOMBALL TX
77377-3579
US

V. Phone/Fax

Practice location:
  • Phone: 832-373-8283
  • Fax:
Mailing address:
  • Phone: 832-373-8283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number65645
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number65645
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: