Provider Demographics
NPI:1205617503
Name:HUNTER, BROOKLYN PAIGE
Entity type:Individual
Prefix:MRS
First Name:BROOKLYN
Middle Name:PAIGE
Last Name:HUNTER
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 1:3640 N BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-6375
Mailing Address - Country:US
Mailing Address - Phone:463-200-4585
Mailing Address - Fax:
Practice Address - Street 1:3640 N BRIARWOOD LN STE 1
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-6374
Practice Address - Country:US
Practice Address - Phone:463-200-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)