Provider Demographics
NPI:1982261293
Name:HUNTER, TAKENYA TECADRIAN (MA, QMHP)
Entity type:Individual
Prefix:
First Name:TAKENYA
Middle Name:TECADRIAN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MA, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 DOCTORS CT
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29706-8644
Mailing Address - Country:US
Mailing Address - Phone:803-581-8311
Mailing Address - Fax:
Practice Address - Street 1:524 DOCTORS CT
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:SC
Practice Address - Zip Code:29706-8644
Practice Address - Country:US
Practice Address - Phone:803-581-8311
Practice Address - Fax:800-475-1984
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health