Provider Demographics
NPI:1780628800
Name:HURST, HOLLYE (PHD,MFT)
Entity Type:Individual
Prefix:DR
First Name:HOLLYE
Middle Name:
Last Name:HURST
Suffix:
Gender:F
Credentials:PHD,MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CRESTVIEW ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1311
Mailing Address - Country:US
Mailing Address - Phone:828-301-4841
Mailing Address - Fax:
Practice Address - Street 1:31 CLAYTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2423
Practice Address - Country:US
Practice Address - Phone:828-301-4841
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1033106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105101Medicaid