MEDICARE: MS. KALENTHIA HUNTER MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	006446	GA
2	1041C0700X	Clinical Social Worker	8743	LA

General Provider Information

NPI Number	:	1093871477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KALENTHIA HUNTER MSW, LCSW

Provider Business Mailing Address
First Line	:	6385 OLD NATIONAL HWY STE 120-27
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-4358
Country	:	US
Telephone Number	:	504-577-8655
Fax Number	:

Provider Business Practice Location Address
First Line	:	1745 PHOENIX BLVD STE 305
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-5534
Country	:	US
Telephone Number	:	504-577-8655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	10/16/2023

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