Provider Demographics
NPI:1184082927
Name:HURST, DAVID SCOTT (LPC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOTT
Last Name:HURST
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5484 S 45TH W
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-5715
Mailing Address - Country:US
Mailing Address - Phone:208-521-7751
Mailing Address - Fax:
Practice Address - Street 1:855 N CAPITAL AVE
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-3405
Practice Address - Country:US
Practice Address - Phone:208-552-0855
Practice Address - Fax:208-523-1132
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-5936101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional