MEDICARE: ALLY TAYLOR HUNT LPCA

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	103K00000X	Behavior Analyst		SC
2	101YP2500X	Professional Counselor	10267	SC

General Provider Information

NPI Number	:	1588477293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLY TAYLOR HUNT LPCA

Provider Business Mailing Address
First Line	:	252 FLEMING RD APT D
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-2407
Country	:	US
Telephone Number	:	803-431-3180
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 ASHLEY RIVER RD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-5902
Country	:	US
Telephone Number	:	843-556-8177
Fax Number	:

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

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	06/16/2026

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