Provider Demographics
NPI:1023370335
Name:JUDITH G. HUNT, LMFT, LLC
Entity type:Organization
Organization Name:JUDITH G. HUNT, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:G
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-286-0528
Mailing Address - Street 1:11 MOUNTAIN AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2343
Mailing Address - Country:US
Mailing Address - Phone:860-286-0528
Mailing Address - Fax:860-286-0585
Practice Address - Street 1:11 MOUNTAIN AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2343
Practice Address - Country:US
Practice Address - Phone:860-286-0528
Practice Address - Fax:860-286-0585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000586106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1457576514OtherVALUE OPTIONS
CT000586OtherUNITED BEHAVIORAL HEALTH
CT1457576514OtherTRICARE
CT000586OtherUNITED HEALTH CARE SERVICES, INC.
004254801OtherCONNECTICUT BEHAVIORAL HEALTH PARTNERSHIP
CT410000586CT03OtherANTHEM BLUE CROSS AND BLUE SHIELD
CTP3629069OtherOXFORD HEALTH PLAN
CT000586OtherCONNECTICARE
CT1457576514OtherAETNA BEHAVIORAL HEALTH
CT350885OtherMHN/HMC
CT1457576514OtherCHAMP VA
CT1457576514OtherCIGNA BEHAVIORAL HEAL