Provider Demographics
NPI:1184369126
Name:HUNTER, TAYLOR LYN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:LYN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:TAYLOR
Other - Middle Name:LYN
Other - Last Name:DEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:845 BAYONET DR
Mailing Address - Street 2:
Mailing Address - City:BOX ELDER
Mailing Address - State:SD
Mailing Address - Zip Code:57719-1703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:845 BAYONET DR
Practice Address - Street 2:
Practice Address - City:BOX ELDER
Practice Address - State:SD
Practice Address - Zip Code:57719-1703
Practice Address - Country:US
Practice Address - Phone:605-390-3584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker