Provider Demographics
NPI:1033583356
Name:HUNTER, CHINYERE (BS, MS, AMS-C)
Entity Type:Individual
Prefix:
First Name:CHINYERE
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:BS, MS, AMS-C
Other - Prefix:
Other - First Name:CHINYERE
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5454 FINANCIAL PLZ APT 5D
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-2650
Mailing Address - Country:US
Mailing Address - Phone:318-617-8316
Mailing Address - Fax:
Practice Address - Street 1:211 N THOMAS DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71107-6519
Practice Address - Country:US
Practice Address - Phone:318-606-2420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 103TC1900X, 171M00000X
LA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician