Provider Demographics
NPI:1427210509
Name:HUNTER, SUSAN S (LPC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:S
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017 REEF POINT LN
Mailing Address - Street 2:SUITE 155
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-7004
Mailing Address - Country:US
Mailing Address - Phone:817-897-0252
Mailing Address - Fax:817-237-8392
Practice Address - Street 1:6017 REEF POINT LN
Practice Address - Street 2:SUITE 155
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-7004
Practice Address - Country:US
Practice Address - Phone:817-980-0966
Practice Address - Fax:817-237-8392
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional