Provider Demographics
NPI:1619318300
Name:HUNYAR COUNSELING SERVICES
Entity Type:Organization
Organization Name:HUNYAR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:HUNYAR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-810-9922
Mailing Address - Street 1:PO BOX 515147
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63151-5147
Mailing Address - Country:US
Mailing Address - Phone:314-810-9922
Mailing Address - Fax:314-894-1945
Practice Address - Street 1:4171 CRESCENT DR
Practice Address - Street 2:SUITE 104
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-3645
Practice Address - Country:US
Practice Address - Phone:314-810-9922
Practice Address - Fax:314-894-1945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010224781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1538196100Medicaid
MO1538196100Medicaid