Provider Demographics
NPI:1528272085
Name:HUNT, TRACY (LPC-MH QMHP)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:LPC-MH QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-2166
Mailing Address - Country:US
Mailing Address - Phone:605-639-5641
Mailing Address - Fax:605-646-2580
Practice Address - Street 1:526 N MAIN ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783-2444
Practice Address - Country:US
Practice Address - Phone:605-639-5641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health