Healthcare Provider Details

I. General information

NPI: 1801759659
Provider Name (Legal Business Name): CYNTHIA LYNN HUNTER CASE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24333 SOUTHFIELD RD STE 106
SOUTHFIELD MI
48075-2848
US

IV. Provider business mailing address

24333 SOUTHFIELD RD STE 106
SOUTHFIELD MI
48075-2848
US

V. Phone/Fax

Practice location:
  • Phone: 313-310-5608
  • Fax: 248-281-0607
Mailing address:
  • Phone: 313-310-5608
  • Fax: 248-281-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: