MEDICARE: DAVID SCOTT HURST LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-5936	ID

General Provider Information

NPI Number	:	1184082927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID SCOTT HURST LPC

Provider Business Mailing Address
First Line	:	5484 S 45TH W
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83402-5715
Country	:	US
Telephone Number	:	208-521-7751
Fax Number	:

Provider Business Practice Location Address
First Line	:	855 N CAPITAL AVE
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83402-3405
Country	:	US
Telephone Number	:	208-552-0855
Fax Number	:	208-523-1132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2016
Last Update Date	:	02/19/2025

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Directions to “ DAVID SCOTT HURST LPC” Practice Location

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