Provider Demographics
NPI:1750839338
Name:HURT, ALYSSIA N (LCSW)
Entity Type:Individual
Prefix:
First Name:ALYSSIA
Middle Name:N
Last Name:HURT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8533 WASHINGTON BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-7462
Mailing Address - Country:US
Mailing Address - Phone:323-925-9207
Mailing Address - Fax:
Practice Address - Street 1:8533 WASHINGTON BLVD UNIT A
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-7462
Practice Address - Country:US
Practice Address - Phone:323-925-9207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1144011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical