Provider Demographics
NPI:1548579477
Name:HURT, DANIELLE MARIE (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARIE
Last Name:HURT
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2689 FRANKFORT RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8611
Mailing Address - Country:US
Mailing Address - Phone:859-537-9779
Mailing Address - Fax:502-868-9312
Practice Address - Street 1:2689 FRANKFORT RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8611
Practice Address - Country:US
Practice Address - Phone:859-537-9779
Practice Address - Fax:502-868-9312
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY240959101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
292194OtherNATIONAL BOARD OF CERTIFIED COUNSELORS
KY240959OtherLPCC LICENSE