Provider Demographics
NPI:1518748623
Name:HUNLEY, CONNIE (MHP)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:
Last Name:HUNLEY
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:CONSTANCE
Other - Last Name:HUNLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHP
Mailing Address - Street 1:1901 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-4187
Mailing Address - Country:US
Mailing Address - Phone:217-343-9234
Mailing Address - Fax:
Practice Address - Street 1:1901 S 4TH ST
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-4187
Practice Address - Country:US
Practice Address - Phone:217-343-9234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health