Provider Demographics
NPI:1861744104
Name:HUNTER, AYSIA M (LPC)
Entity type:Individual
Prefix:
First Name:AYSIA
Middle Name:M
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3944 MONROEVILLE BLVD APT B2
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2425
Mailing Address - Country:US
Mailing Address - Phone:724-498-5805
Mailing Address - Fax:
Practice Address - Street 1:1000 JACKS RUN RD
Practice Address - Street 2:
Practice Address - City:NORTH VERSAILLES
Practice Address - State:PA
Practice Address - Zip Code:15137-2744
Practice Address - Country:US
Practice Address - Phone:724-498-5805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006449101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional