Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | TN |
NPI | 1003103987 |
---|---|
Provider Name | Korie Bernice Hurst |
First Address | Nashville, TN 37217-3841 |
Second Address | Nashville, TN 37217-3841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 29/06/2011 |