Healthcare Provider Details

I. General information

NPI: 1023410164
Provider Name (Legal Business Name): RODNEY LEWIS HUNTER SR. LSW, LICDC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELIZABETH PL STE 1050
DAYTON OH
45417-3445
US

IV. Provider business mailing address

1 ELIZABETH PL STE 1050
DAYTON OH
45417-3445
US

V. Phone/Fax

Practice location:
  • Phone: 937-270-9190
  • Fax:
Mailing address:
  • Phone: 937-270-9190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberS.0031386
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0031386
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberS.0031386
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: