Provider Demographics
NPI:1740914555
Name:HUNT, STEPHANEI MARIE (MED, LGPC)
Entity type:Individual
Prefix:MRS
First Name:STEPHANEI
Middle Name:MARIE
Last Name:HUNT
Suffix:
Gender:F
Credentials:MED, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3345 COVENTRY COURT DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-2141
Mailing Address - Country:US
Mailing Address - Phone:410-259-5248
Mailing Address - Fax:
Practice Address - Street 1:3345 COVENTRY COURT DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-2141
Practice Address - Country:US
Practice Address - Phone:410-259-5248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP12837101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional