Healthcare Provider Details

I. General information

NPI: 1164889663
Provider Name (Legal Business Name): MELISSA HURT-MORAN LMHC, SUDP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA R HURT-MORAN

II. Dates (important events)

Enumeration Date: 01/28/2016
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 W SUNSET BLVD STE B
SPOKANE WA
99224-6200
US

IV. Provider business mailing address

2702 W SUNSET BLVD STE B
SPOKANE WA
99224-6200
US

V. Phone/Fax

Practice location:
  • Phone: 509-960-7938
  • Fax: 509-960-7940
Mailing address:
  • Phone: 509-960-7938
  • Fax: 509-960-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: