Provider Demographics
NPI:1396076154
Name:HUNT, TIMOTHY NEAL (MS, CRC, LPC, LCAS-P)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:NEAL
Last Name:HUNT
Suffix:
Gender:M
Credentials:MS, CRC, LPC, LCAS-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 6TH ST
Mailing Address - Street 2:
Mailing Address - City:AYDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28513-2251
Mailing Address - Country:US
Mailing Address - Phone:252-702-3690
Mailing Address - Fax:
Practice Address - Street 1:241 6TH ST
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-2251
Practice Address - Country:US
Practice Address - Phone:252-702-3690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-19
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7656101YM0800X
NC101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)