Provider Demographics
NPI:1306387881
Name:DUNAWAY, BRENNA (LLPC)
Entity Type:Individual
Prefix:
First Name:BRENNA
Middle Name:
Last Name:DUNAWAY
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:BRENNA
Other - Middle Name:
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2910 W JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-2904
Mailing Address - Country:US
Mailing Address - Phone:734-346-6430
Mailing Address - Fax:
Practice Address - Street 1:375 EUREKA RD STE 2
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-5839
Practice Address - Country:US
Practice Address - Phone:734-600-7873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other