Healthcare Provider Details
I. General information
NPI: 1073150884
Provider Name (Legal Business Name): HUNTER CLINICAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2019
Last Update Date: 11/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 N COLLEGE ST
AUBURN AL
36830-3814
US
IV. Provider business mailing address
289 SOLAMERE LN
AUBURN AL
36832-5123
US
V. Phone/Fax
- Phone: 334-219-0425
- Fax: 334-460-0468
- Phone: 404-643-2745
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0004X |
| Taxonomy | Health Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TH0100X |
| Taxonomy | Health Service Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
EVELYN
HUNTER
Title or Position: OWNER
Credential: PHD
Phone: 334-219-0425