Provider Demographics
NPI:1720131154
Name:HUNTER, CONSUELA M (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CONSUELA
Middle Name:M
Last Name:HUNTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 MANSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-3027
Mailing Address - Country:US
Mailing Address - Phone:318-303-2591
Mailing Address - Fax:
Practice Address - Street 1:1401 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-5513
Practice Address - Country:US
Practice Address - Phone:318-574-1713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA66041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical