Provider Demographics
NPI:1538748165
Name:HUNLEY, CHAD R (NBC-HWC)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:R
Last Name:HUNLEY
Suffix:
Gender:M
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2180 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAWN
Mailing Address - State:TN
Mailing Address - Zip Code:37191-9357
Mailing Address - Country:US
Mailing Address - Phone:931-801-7880
Mailing Address - Fax:
Practice Address - Street 1:2180 DOVER RD
Practice Address - Street 2:
Practice Address - City:WOODLAWN
Practice Address - State:TN
Practice Address - Zip Code:37191-9357
Practice Address - Country:US
Practice Address - Phone:931-801-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-3275841171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach