Provider Demographics
NPI:1457795023
Name:HURD, ANGELA W (LPC-I)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:W
Last Name:HURD
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MASON ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4450
Mailing Address - Country:US
Mailing Address - Phone:281-255-9922
Mailing Address - Fax:281-255-9064
Practice Address - Street 1:500 MASON ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4450
Practice Address - Country:US
Practice Address - Phone:281-255-9922
Practice Address - Fax:281-255-9064
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70680101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor