Provider Demographics
NPI:1073867073
Name:HUNT, BRANDE C (LMSW)
Entity Type:Individual
Prefix:MS
First Name:BRANDE
Middle Name:C
Last Name:HUNT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:BRANDE
Other - Middle Name:C
Other - Last Name:NEWSOME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1763
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30081-1763
Mailing Address - Country:US
Mailing Address - Phone:585-747-3446
Mailing Address - Fax:
Practice Address - Street 1:1430 FIRST ST.
Practice Address - Street 2:BLDG 838, SUITE 1415
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:30069
Practice Address - Country:US
Practice Address - Phone:678-655-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068636104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker