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Organization

HURLEY'S PHOENIX SUPPORT CENTER

Active
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Organization

HURLEY'S PHOENIX SUPPORT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY BROOKE HURLEY CAMARP (FOUNDER & CEO)
(276) 970-7517
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
225XE0001X
Environmental Modification Occupational Therapist
251S00000X
Community/Behavioral Health Agency
Primary
374J00000X
Doula

Other

Enumeration date
03/05/2026
Last updated
05/21/2026
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