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NPI Code Detail

MEDICARE: PERIANNE GRACE HUNT

MEDICARE: PERIANNE GRACE HUNT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1164123493
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERIANNE GRACE HUNT
Provider Business Mailing Address
First Line : 2608 GREENFIELD DR
Second Line :
City : EDMOND
State : OK
Zip : 73012-6528
Country : US
Telephone Number : 405-313-8581
Fax Number :
Provider Business Practice Location Address
First Line : 3000 W MEMORIAL RD STE 218
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6103
Country : US
Telephone Number : 405-449-4638
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2023
Last Update Date : 02/23/2026

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