=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437385127
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT CHARLES HUNT LPC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2009
-----------------------------------------------------
Last Update Date | 03/15/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 370 PERRY HILL RD
-----------------------------------------------------
City | MONTGOMERY
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36109-4550
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-303-5594
-----------------------------------------------------
Fax | 334-277-9437
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3949 JASMINE HILL RD
-----------------------------------------------------
City | WETUMPKA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36093-3307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 334-303-3887
-----------------------------------------------------
Fax | 334-303-5594
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 047
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 2230
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 222
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------