Provider Demographics
NPI:1467087270
Name:HURST, KRISTIN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:HURST
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 NOBLE ST STE 3H
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-4678
Mailing Address - Country:US
Mailing Address - Phone:256-530-2030
Mailing Address - Fax:
Practice Address - Street 1:1302 NOBLE ST STE 3H
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4678
Practice Address - Country:US
Practice Address - Phone:256-530-2030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04784101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional