Provider Demographics
NPI:1487467585
Name:THOMAS, HUNTER (LCMHCA)
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7807 HIGH TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8571
Mailing Address - Country:US
Mailing Address - Phone:704-718-7721
Mailing Address - Fax:
Practice Address - Street 1:7480 WATERSIDE LOOP RD STE 204
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7930
Practice Address - Country:US
Practice Address - Phone:704-483-3783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21042101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health