Provider Demographics
NPI:1790222610
Name:HURST, JULIE PHILMON
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:PHILMON
Last Name:HURST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231 SW 708TH ST
Mailing Address - Street 2:
Mailing Address - City:HORSESHOE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32648-2401
Mailing Address - Country:US
Mailing Address - Phone:352-498-3273
Mailing Address - Fax:
Practice Address - Street 1:CORP 1485 S SEMORAN BLVD., SUITE 1448
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792
Practice Address - Country:US
Practice Address - Phone:321-397-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor