Provider Demographics
NPI:1437703428
Name:MICHELLE DUNN LLC
Entity Type:Organization
Organization Name:MICHELLE DUNN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:410-491-6929
Mailing Address - Street 1:8600 LA SALLE RD STE 610
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2014
Mailing Address - Country:US
Mailing Address - Phone:410-491-6929
Mailing Address - Fax:443-275-7518
Practice Address - Street 1:8600 LA SALLE RD STE 610
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2014
Practice Address - Country:US
Practice Address - Phone:410-491-6929
Practice Address - Fax:443-275-7518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-28
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty