Provider Demographics
NPI:1720768815
Name:HUNT, VICTORIA LYNN MCDONALD (MED, P-LPC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:LYNN MCDONALD
Last Name:HUNT
Suffix:
Gender:F
Credentials:MED, P-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-8466
Mailing Address - Country:US
Mailing Address - Phone:601-398-8904
Mailing Address - Fax:
Practice Address - Street 1:6880 COBBLESTONE BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-9313
Practice Address - Country:US
Practice Address - Phone:662-253-8324
Practice Address - Fax:662-253-8336
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP-0948101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor