Provider Demographics
NPI:1699738542
Name:HUNT, BILLIE J (LCSW)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:J
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 MITCHELL VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-6338
Mailing Address - Country:US
Mailing Address - Phone:276-783-7600
Mailing Address - Fax:276-783-1802
Practice Address - Street 1:434 MITCHELL VALLEY DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-6338
Practice Address - Country:US
Practice Address - Phone:276-783-7600
Practice Address - Fax:276-783-1802
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040032951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010024706Medicaid
VA834221000OtherMAGELLAN
P04519Medicare UPIN