Provider Demographics
NPI:1508052077
Name:MONICA DUNN ASSOCIATES, LLC
Entity Type:Organization
Organization Name:MONICA DUNN ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:N
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-436-4550
Mailing Address - Street 1:97 S LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9301
Mailing Address - Country:US
Mailing Address - Phone:614-436-4550
Mailing Address - Fax:
Practice Address - Street 1:97 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-9301
Practice Address - Country:US
Practice Address - Phone:614-436-4550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17425101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty