Healthcare Provider Details

I. General information

NPI: 1730041781
Provider Name (Legal Business Name): HUNTER J RICKS LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5213 HICKORY PARK DR STE A
GLEN ALLEN VA
23059-2617
US

IV. Provider business mailing address

5213 HICKORY PARK DR STE A
GLEN ALLEN VA
23059-2617
US

V. Phone/Fax

Practice location:
  • Phone: 844-863-4621
  • Fax: 804-237-8028
Mailing address:
  • Phone: 844-863-4621
  • Fax: 804-237-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015645
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: