Provider Demographics
NPI:1578342614
Name:HURST, LANA JUNE (MHC-LP)
Entity Type:Individual
Prefix:MS
First Name:LANA
Middle Name:JUNE
Last Name:HURST
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 FULTON ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1800
Mailing Address - Country:US
Mailing Address - Phone:212-580-7974
Mailing Address - Fax:
Practice Address - Street 1:50 FULTON ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1800
Practice Address - Country:US
Practice Address - Phone:212-580-7974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18-P123171-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health