Provider Demographics
NPI:1053868885
Name:HUNT, SAMANTHA (LCAT, CASAC)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:LCAT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 OVERLAND RD
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-1123
Mailing Address - Country:US
Mailing Address - Phone:845-234-0185
Mailing Address - Fax:
Practice Address - Street 1:1392 ALBANY POST RD
Practice Address - Street 2:
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1559
Practice Address - Country:US
Practice Address - Phone:914-589-7188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY28149101YA0400X
NY001814-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)