Hurley, Mary Ellen
Hurley, Mary Ellen is an individual health care provider with primary practice located at 614 Peterson Rd # 200 , Burlington WA 98233-2606. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hurley, Mary Ellen can be contacted via phone (360) 856-3054.Contact Information
Primary practice address
614 Peterson Rd # 200
Burlington WA 98233-2606
Phone: (360) 856-3054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CP60278291 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60278291 | Washington |
Profile Details
| NPI number | 1346544400 |
|---|---|
| LBN Legal business name | Hurley, Mary Ellen |
| Credentials | SUDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2011 |
| Last updated | Jan 4th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346544400 | NPPES |
| Washington | MEDICAID | 1994565 |
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