Provider Demographics
NPI:1265264436
Name:HUNTER, ELISABETH HANNAH
Entity type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:HANNAH
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 1:1001 S DAIRY ASHFORD RD STE 510
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2333
Mailing Address - Country:US
Mailing Address - Phone:713-364-8645
Mailing Address - Fax:
Practice Address - Street 1:1001 S DAIRY ASHFORD RD STE 510
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2333
Practice Address - Country:US
Practice Address - Phone:713-364-8645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX96087101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health