Healthcare Provider Details

I. General information

NPI: 1720098502
Provider Name (Legal Business Name): TERENCE EUGENE HUNT LCMHCS, LCAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 EXECUTIVE PARK BLVD STE 120
WINSTON SALEM NC
27103-1534
US

IV. Provider business mailing address

5612 SILER ST
TRINITY NC
27370-8989
US

V. Phone/Fax

Practice location:
  • Phone: 336-770-2477
  • Fax: 336-962-6739
Mailing address:
  • Phone: 336-402-4643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberS3946
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS3946
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1146
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: