Healthcare Provider Details

I. General information

NPI: 1205728953
Provider Name (Legal Business Name): MALIKAH K HUNTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9026 PADDLE OAK RD
CHARLOTTE NC
28227-3682
US

IV. Provider business mailing address

9026 PADDLE OAK RD
CHARLOTTE NC
28227-3682
US

V. Phone/Fax

Practice location:
  • Phone: 216-559-4223
  • Fax:
Mailing address:
  • Phone: 216-559-4223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: