Provider Demographics
NPI:1154522381
Name:HUNT, LEAH (MSW)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 S LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-4919
Mailing Address - Country:US
Mailing Address - Phone:918-749-7633
Mailing Address - Fax:918-749-7633
Practice Address - Street 1:1515 S LEWIS AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4919
Practice Address - Country:US
Practice Address - Phone:918-749-7633
Practice Address - Fax:918-749-7633
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical