Organization
HURLEY'S PHOENIX SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BROOKE HURLEY CAMARP (FOUNDER & CEO)
(276) 970-8366
Entity
Organization
Contact information
Practice address
276 BALL RD, LOT 9, RAVEN, VA 24639
(276) 970-8366
Mailing address
PO BOX 102, RAVEN, VA 24639-0102
(276) 970-8366
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
03/05/2026
Last updated
04/02/2026
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