Provider Demographics
NPI:1427360460
Name:DUNLAP AND ASSOCIATES COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:DUNLAP AND ASSOCIATES COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:DELON
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:816-591-6266
Mailing Address - Street 1:6220 BLUE RIDGE CUT OFF STE 312
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-3730
Mailing Address - Country:US
Mailing Address - Phone:816-591-6266
Mailing Address - Fax:
Practice Address - Street 1:8613 E 54TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64129-2213
Practice Address - Country:US
Practice Address - Phone:816-591-6266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS23731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty