Healthcare Provider Details

I. General information

NPI: 1598413676
Provider Name (Legal Business Name): ANTHONY HUNTER MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4742 SUTTON PL
TOLEDO OH
43623-3128
US

IV. Provider business mailing address

4742 SUTTON PL
TOLEDO OH
43623-3128
US

V. Phone/Fax

Practice location:
  • Phone: 419-344-9839
  • Fax:
Mailing address:
  • Phone: 419-344-9839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2607795
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: