Provider Demographics
NPI:1427296706
Name:HUNT, ANGELA LEIGH (LMSW)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LEIGH
Last Name:HUNT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:LEIGH
Other - Last Name:MCQUEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:59 SEMINOLE TRL
Mailing Address - Street 2:
Mailing Address - City:FORT MITCHELL
Mailing Address - State:AL
Mailing Address - Zip Code:36856-5565
Mailing Address - Country:US
Mailing Address - Phone:706-575-6592
Mailing Address - Fax:
Practice Address - Street 1:7020 MOON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4900
Practice Address - Country:US
Practice Address - Phone:706-569-7992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW004315104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker