Provider Demographics
NPI:1669804001
Name:HURST, ANN L FLORA (MACPC, LPCC-S)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:L FLORA
Last Name:HURST
Suffix:
Gender:F
Credentials:MACPC, LPCC-S
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:L
Other - Last Name:FLORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:580 S HIGH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5644
Mailing Address - Country:US
Mailing Address - Phone:614-625-7183
Mailing Address - Fax:614-625-7183
Practice Address - Street 1:580 S HIGH ST STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5644
Practice Address - Country:US
Practice Address - Phone:614-625-7183
Practice Address - Fax:614-625-7183
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKE1200018101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0155110Medicaid