Provider Demographics
NPI:1447044128
Name:HURST, AMBER HADLEY (MED, LPC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:HADLEY
Last Name:HURST
Suffix:
Gender:
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22802 ROSEHOLLOW TRL
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-3579
Mailing Address - Country:US
Mailing Address - Phone:832-373-8283
Mailing Address - Fax:
Practice Address - Street 1:22802 ROSEHOLLOW TRL
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-3579
Practice Address - Country:US
Practice Address - Phone:832-373-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65645101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor