Provider Demographics
NPI:1891408746
Name:BRUNTY, ALEE MAE
Entity Type:Individual
Prefix:
First Name:ALEE
Middle Name:MAE
Last Name:BRUNTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4381 STEMEN RD NW
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:OH
Mailing Address - Zip Code:43105-9364
Mailing Address - Country:US
Mailing Address - Phone:614-946-8773
Mailing Address - Fax:
Practice Address - Street 1:8711 WOODLANDS CT
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-9751
Practice Address - Country:US
Practice Address - Phone:614-946-8773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker