MEDICARE: LAURA GWENDOLYN HUNTER LMSW

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	104100000X	Social Worker	6164G	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811842289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA GWENDOLYN HUNTER LMSW

Provider Business Mailing Address
First Line	:	4040 MEMORIAL PKWY SW STE C
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35802-1396
Country	:	US
Telephone Number	:	256-715-3669
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 MEMORIAL PKWY SW STE C
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35802-1396
Country	:	US
Telephone Number	:	256-533-1970
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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