Healthcare Provider Details

I. General information

NPI: 1407775430
Provider Name (Legal Business Name): AUTUMN HUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 SE MAYNARD RD STE 203
CARY NC
27511-3634
US

IV. Provider business mailing address

7249 CIRCLEBANK DR
RALEIGH NC
27615-5645
US

V. Phone/Fax

Practice location:
  • Phone: 336-864-5435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberP024074
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: