Healthcare Provider Details

I. General information

NPI: 1932045234
Provider Name (Legal Business Name): MYESHA NICOLE HUNT PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 WINN WAY STE 130
DECATUR GA
30030-1722
US

IV. Provider business mailing address

2100 COBB PKWY SE APT 1125
SMYRNA GA
30080-7738
US

V. Phone/Fax

Practice location:
  • Phone: 833-777-9247
  • Fax:
Mailing address:
  • Phone: 404-697-8872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAPRN-NP308667
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: