Provider Demographics
NPI:1558179978
Name:HUNT, MONA LISA
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:LISA
Last Name:HUNT
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 1:301 E 7TH ST UNIT 42
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28359-0579
Mailing Address - Country:US
Mailing Address - Phone:910-964-4073
Mailing Address - Fax:
Practice Address - Street 1:301 E 7TH ST UNIT 42
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28359-0579
Practice Address - Country:US
Practice Address - Phone:910-964-4073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical