Provider Demographics
NPI:1639555246
Name:HUNT, ASHLEE ROSE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:ROSE
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:ROSE
Other - Last Name:ADKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:826 N. 100 E
Mailing Address - Street 2:STE 6
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660
Mailing Address - Country:US
Mailing Address - Phone:801-995-8542
Mailing Address - Fax:435-674-3175
Practice Address - Street 1:826 N. 100 E
Practice Address - Street 2:STE 6
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660
Practice Address - Country:US
Practice Address - Phone:801-995-8542
Practice Address - Fax:435-674-3175
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT893841935021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT89384193502Medicaid