CHARLESETTA HURT LCDC III NPI 1942463294

NPI Information

NPI: 1942463294
Provider Name: CHARLESETTA HURT, LCDC III
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
30800 CHAGRIN BLVD
PEPPER PIKE, OH
ZIP 44124
Phone: (216) 591-0324
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Charlesetta Hurt, LCDC III is an addiction (substance use disorder) counselor in Pepper Pike, OH. Charlesetta Hurt, LCDC III NPI is 1942463294. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30800 CHAGRIN BLVD
PEPPER PIKE, OH
ZIP 44124-925
Phone: (216) 591-0324
Fax: (216) 591-1243

The NPI 1942463294 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	61022	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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