Provider Demographics
NPI:1689790289
Name:HURD, VERONICA DENISE (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:DENISE
Last Name:HURD
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 OVERBRIDGE LN STE W
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37405-3320
Mailing Address - Country:US
Mailing Address - Phone:423-309-0723
Mailing Address - Fax:
Practice Address - Street 1:748 OVERBRIDGE LN STE 2
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-3320
Practice Address - Country:US
Practice Address - Phone:423-309-0723
Practice Address - Fax:423-877-7039
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6697101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional