MEDICARE: ELIZABETH HURT PLPC

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	101YM0800X	Mental Health Counselor		LA
2	101YM0800X	Mental Health Counselor	9204	LA

General Provider Information

NPI Number	:	1982338802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HURT PLPC

Provider Business Mailing Address
First Line	:	19411 HELENBIRG RD STE 201
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-5199
Country	:	US
Telephone Number	:	985-326-8501
Fax Number	:	985-326-8503

Provider Business Practice Location Address
First Line	:	1423 W CAUSEWAY APPROACH
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70471-3045
Country	:	US
Telephone Number	:	985-326-8501
Fax Number	:	985-326-8503

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

Provider Enumeration Date	:	07/15/2022
Last Update Date	:	06/07/2025

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