Provider Demographics
NPI:1275765992
Name:ROBIN W. DUNN, M.S., L.P.C., INC.
Entity Type:Organization
Organization Name:ROBIN W. DUNN, M.S., L.P.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIC. PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:770-548-1966
Mailing Address - Street 1:505 COVE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-1363
Mailing Address - Country:US
Mailing Address - Phone:770-548-1966
Mailing Address - Fax:706-692-2221
Practice Address - Street 1:505 COVE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:JASPER
Practice Address - State:GA
Practice Address - Zip Code:30143-1363
Practice Address - Country:US
Practice Address - Phone:770-548-1966
Practice Address - Fax:706-692-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC001535251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA700781091AMedicaid