Provider Demographics
NPI:1528381530
Name:HURD, SUSAN B (MA, CAGS, LMHC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:B
Last Name:HURD
Suffix:
Gender:F
Credentials:MA, CAGS, LMHC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:116 EDDIE DOWLING HWY
Mailing Address - Street 2:HEALING CHOICES P.C. -RHRI
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-7327
Mailing Address - Country:US
Mailing Address - Phone:401-766-0800
Mailing Address - Fax:401-765-5904
Practice Address - Street 1:116 EDDIE DOWLING HWY
Practice Address - Street 2:HEALING CHOICES P.C. -RHRI
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-7327
Practice Address - Country:US
Practice Address - Phone:401-766-0800
Practice Address - Fax:401-765-5904
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-04
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIMHC00449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health