Provider Demographics
NPI:1609268416
Name:HUNT, TASHUNA MICHELLE (MSW)
Entity type:Individual
Prefix:MS
First Name:TASHUNA
Middle Name:MICHELLE
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 LEONARD ST NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-1138
Mailing Address - Country:US
Mailing Address - Phone:616-451-2021
Mailing Address - Fax:616-774-1001
Practice Address - Street 1:448 DICKINSON ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49507-2671
Practice Address - Country:US
Practice Address - Phone:616-819-2765
Practice Address - Fax:616-819-2502
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801096723101YM0800X
MI68011061271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health