1023370335 NPI number — JUDITH G. HUNT, LMFT, LLC

Table of content: (NPI 1023370335)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023370335 NPI number — JUDITH G. HUNT, LMFT, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JUDITH G. HUNT, LMFT, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023370335
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 MOUNTAIN AVE
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
BLOOMFIELD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06002-2343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-286-0528
Provider Business Mailing Address Fax Number:
860-286-0585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11 MOUNTAIN AVE
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
BLOOMFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06002-2343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-286-0528
Provider Business Practice Location Address Fax Number:
860-286-0585
Provider Enumeration Date:
06/12/2012

Additional Information

Authorized Official

Authorized Official Last Name:
HUNT
Authorized Official First Name:
JUDITH
Authorized Official Middle Name:
G.
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
860-286-0528

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  000586 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1457576514 . This is a "VALUE OPTIONS" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 000586 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1457576514 . This is a "TRICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 000586 . This is a "UNITED HEALTH CARE SERVICES, INC." identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 004254801 . This is a "CONNECTICUT BEHAVIORAL HEALTH PARTNERSHIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410000586CT03 . This is a "ANTHEM BLUE CROSS AND BLUE SHIELD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: P3629069 . This is a "OXFORD HEALTH PLAN" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 000586 . This is a "CONNECTICARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1457576514 . This is a "AETNA BEHAVIORAL HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 350885 . This is a "MHN/HMC" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1457576514 . This is a "CHAMP VA" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1457576514 . This is a "CIGNA BEHAVIORAL HEAL" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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