Hurly, Carol E

Hurly, Carol E is an sole proprietor health care provider with primary practice located at 9728 W. Escuda Dr. , Peoria AZ 85382-0950. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Hurly, Carol E can be contacted via phone (406) 240-0191.

Contact Information

Primary practice address
9728 W. Escuda Dr. Peoria AZ 85382-0950
Phone: (406) 240-0191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1095 Montana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00009128 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X 222 Montana
Behavioral Health & Social Service Providers / Professional 101YP2500X #3587 Idaho

Profile Details

NPI number 1821240649
LBN Legal business name Hurly, Carol E
Credentials ED.D,LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2008
Last updated Apr 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821240649 NPPES
Arizona Other 14279432 CAQH

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