Provider Demographics
NPI:1255691812
Name:HUNTE, SHIREEN A (LAPC)
Entity Type:Individual
Prefix:MRS
First Name:SHIREEN
Middle Name:A
Last Name:HUNTE
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2796 KAKKI CT
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2683
Mailing Address - Country:US
Mailing Address - Phone:404-433-2185
Mailing Address - Fax:
Practice Address - Street 1:2796 KAKKI CT
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2683
Practice Address - Country:US
Practice Address - Phone:404-433-2185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC003267101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health