Provider Demographics
NPI:1902607385
Name:HUNT, KATY
Entity type:Individual
Prefix:MS
First Name:KATY
Middle Name:
Last Name:HUNT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 REAGON CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-3779
Mailing Address - Country:US
Mailing Address - Phone:315-244-8735
Mailing Address - Fax:
Practice Address - Street 1:15537 W 4000 N # 529
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:UT
Practice Address - Zip Code:84001-8000
Practice Address - Country:US
Practice Address - Phone:571-268-6751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704012351101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health