Provider Demographics
NPI:1467427732
Name:HUNTER, ANITA LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:LEE
Last Name:HUNTER
Suffix:
Gender:F
Credentials: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 505
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79550-0505
Mailing Address - Country:US
Mailing Address - Phone:325-573-8020
Mailing Address - Fax:
Practice Address - Street 1:1929 SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:TX
Practice Address - Zip Code:79549-0831
Practice Address - Country:US
Practice Address - Phone:806-543-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX057921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150925901Medicaid
TX150925901Medicaid