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General NPI Number Information
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NPI Number | 1336659796
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Entity Type | Organization
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Legal Business Name | HURLEY COUNSELING AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1900 DAUPHIN ST
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City | MOBILE
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State | AL
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Zip | 36606-1414
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Country | US
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Telephone | 251-222-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 516 GRAND AVE
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City | FAIRHOPE
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State | AL
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Zip | 36532-2730
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Country | US
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Telephone | 251-648-0437
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MR. ANDREW LAIRD HURLEY
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Credential | LPC
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Telephone | 251-648-0437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3350
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License Number State | AL
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