Provider Demographics
NPI:1952110058
Name:HUNT, SAMANTHA MAYE (LLPC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MAYE
Last Name:HUNT
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-1507
Mailing Address - Country:US
Mailing Address - Phone:231-631-4153
Mailing Address - Fax:
Practice Address - Street 1:296 W CLAY AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1202
Practice Address - Country:US
Practice Address - Phone:231-335-1718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health