Provider Demographics
NPI:1174840557
Name:HURST, PAULA J (LMFT, LPC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:J
Last Name:HURST
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6803 S WESTERN AVE STE 413
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-1814
Mailing Address - Country:US
Mailing Address - Phone:405-796-8399
Mailing Address - Fax:
Practice Address - Street 1:6803 S WESTERN AVE STE 413
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1814
Practice Address - Country:US
Practice Address - Phone:405-796-8399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7647101YM0800X
101YM0800X
OK1365106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health