Provider Demographics
NPI:1992462600
Name:HUNT, BRANDON (LCAS, LCSW)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:HUNT
Suffix:
Gender:M
Credentials:LCAS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:MAXTON
Mailing Address - State:NC
Mailing Address - Zip Code:28364-0171
Mailing Address - Country:US
Mailing Address - Phone:910-774-4668
Mailing Address - Fax:
Practice Address - Street 1:14172 NC HIGHWAY 130 W
Practice Address - Street 2:
Practice Address - City:MAXTON
Practice Address - State:NC
Practice Address - Zip Code:28364-9737
Practice Address - Country:US
Practice Address - Phone:191-077-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health