Basic Information
Provider Information
NPI: 1134404064
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUNSAKER
FirstName: BRITTANY
MiddleName: ELAINE
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 40
Address2:  
City: WHITESBURG
State: KY
PostalCode: 418580040
CountryCode: US
TelephoneNumber: 6066334823
FaxNumber:  
Practice Location
Address1: 226 MEDICAL PLAZA LN
Address2:  
City: WHITESBURG
State: KY
PostalCode: 418587425
CountryCode: US
TelephoneNumber: 6064365761
FaxNumber: 6064350817
Other Information
ProviderEnumerationDate: 10/11/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X3911KYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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