Kelley Ann Huneycutt, MA,CAMS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI 1245539766 · NPPES record last updated Jan 26, 2022
Key facts
- NPI
- 1245539766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 23025 (NC)
- Practice address
- 429 Billingsley Rd
Charlotte, NC 28211-1007 - Phone
- (704) 445-6900
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23025 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anuvia Prevention and Recovery Center, Inc | Past | Accepting new patients | |
| Anuvia Prevention & Recovery, Center, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 23025 | NC | Yes |
Addresses
Primary practice location
429 Billingsley Rd
Charlotte, NC 28211-1007
Mailing address
100 Billingsley Rd
Charlotte, NC 28211-1002
Other practice location 1
106 W Port St
Deridder, LA 70634-4040
Phone (337) 462-1641
Other practice location 2
100 Billingsley Rd
Charlotte, NC 28211
Phone (704) 376-7447
Other providers in Charlotte, NC
- Nakela Humphries
- Virginia Humphries
- Zaria Davis Humphries
- Eric Bernard Hun Ter
- Amy D. Huneycutt
- Savannah Huneycutt
- Sherri F Huneycutt
- Calvin H Hung
- Susan Irene Hungness
- Michelle Sheree Hunnicutt
All providers in Charlotte, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.