Cameron Hunt
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Indianapolis, IN
NPI 1356740401 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1356740401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- CAMERON HUNT
- Practice address
- 5506 E 16TH St
Ste. B17
Indianapolis, IN 46218-4935 - Phone
- (317) 426-2815
- NPI assigned
- Aug 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Cameron L Hunt
- Title
- President and Ceo
- Phone
- (317) 469-6923
Practitioners 1
National Provider Directory
Locations
5506 E 16th St
Ste B17
Indianapolis, IN 46218
Phone (317) 426-2815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
5506 E 16TH St
Ste. B17
Indianapolis, IN 46218-4935
Mailing address
5506 E 16TH St
Ste. B17
Indianapolis, IN 46218-4935
Phone (317) 426-2815
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200960000A | Medicaid | IN |
Other names
- Favorable Behavior Support Services, LLC
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- Howard Dane Cameron
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All providers in Indianapolis, IN · Adolescent and Children Mental Health Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. 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.