Provider Demographics
NPI:1184516148
Name:YOUNG, HUNTER (MS)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 2ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-8560
Mailing Address - Country:US
Mailing Address - Phone:850-902-7330
Mailing Address - Fax:
Practice Address - Street 1:1 11TH ST
Practice Address - Street 2:SUITE A2
Practice Address - City:SHALIMAR
Practice Address - State:FL
Practice Address - Zip Code:32579
Practice Address - Country:US
Practice Address - Phone:850-902-7330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH28031.101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health