MEDICARE: MRS. LAKESHIA HARDY HUNTER CRC

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	251B00000X	Case Management Agency		AL
2	225C00000X	Rehabilitation Counselor	655725	AL

General Provider Information

NPI Number	:	1962339838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAKESHIA HARDY HUNTER CRC

Provider Business Mailing Address
First Line	:	1619 BAYBERRY CIR
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-6763
Country	:	US
Telephone Number	:	205-538-1502
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 BAYBERRY CIR
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35405-6763
Country	:	US
Telephone Number	:	205-538-1502
Fax Number	:

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

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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