Provider Demographics
NPI:1144247016
Name:HUNT, JUDITH L (LMHC)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:L
Last Name:HUNT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1705 BOULEVARD SQ
Mailing Address - Street 2:SUITE A
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-8031
Mailing Address - Country:US
Mailing Address - Phone:912-283-4026
Mailing Address - Fax:912-283-4028
Practice Address - Street 1:1705 BOULEVARD SQ
Practice Address - Street 2:SUITE A
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-8031
Practice Address - Country:US
Practice Address - Phone:912-283-4026
Practice Address - Fax:912-283-4028
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003832101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional