Hurst, Jacqueline Terry
Hurst, Jacqueline Terry is an individual health care provider with primary practice located at 15370 Levan Rd. Ste 2 Livonia Counseling Center, Livonia MI 48154. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hurst, Jacqueline Terry can be contacted via phone (734) 744-0170.Contact Information
Primary practice address
15370 Levan Rd. Ste 2 Livonia Counseling Center
Livonia MI 48154
Phone: (734) 744-0170
Fax: (734) 744-0171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 075134 | New York |
Profile Details
| NPI number | 1568415545 |
|---|---|
| LBN Legal business name | Hurst, Jacqueline Terry |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Mar 9th, 2016 - about 8 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 | 1568415545 | NPPES |
| New York | MEDICAID | 07300075134LI |
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