Provider Demographics
NPI:1366672891
Name:ELISHA C. HURLEY
Entity Type:Organization
Organization Name:ELISHA C. HURLEY
Other - Org Name:THE MARRIAGE AND FAMILY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISHA
Authorized Official - Middle Name:C
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMIN, PHD, LMFT
Authorized Official - Phone:931-553-6981
Mailing Address - Street 1:PO BOX 31298
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-0022
Mailing Address - Country:US
Mailing Address - Phone:931-553-6981
Mailing Address - Fax:931-553-6982
Practice Address - Street 1:2219 LOWES DR W
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6888
Practice Address - Country:US
Practice Address - Phone:931-553-6981
Practice Address - Fax:931-553-6982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2016-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty