Provider Demographics
NPI:1730111543
Name:HUNTER, MELEA KAYE (CMSW)
Entity Type:Individual
Prefix:MS
First Name:MELEA
Middle Name:KAYE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 COLLEGE HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-6547
Mailing Address - Country:US
Mailing Address - Phone:423-975-0841
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF VETERAN AFFAIRS
Practice Address - Street 2:JAMES H. QUILLEN VA MEDICAL CENTER (122)
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:423-979-2812
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCSW0000005201104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker