Provider Demographics
NPI:1124843776
Name:HUNT, CHARLES ALLAN (LMHCA)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:ALLAN
Last Name:HUNT
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 N OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-2465
Mailing Address - Country:US
Mailing Address - Phone:970-405-6624
Mailing Address - Fax:
Practice Address - Street 1:6296 RUCKER RD STE A
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-4852
Practice Address - Country:US
Practice Address - Phone:317-550-3043
Practice Address - Fax:855-845-3260
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002537A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health