Provider Demographics
NPI:1558517417
Name:HARRISON-DUNN, HILARY ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:ANNE
Last Name:HARRISON-DUNN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 ELKINS LK
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-7307
Mailing Address - Country:US
Mailing Address - Phone:979-264-0810
Mailing Address - Fax:
Practice Address - Street 1:3737 STATE HIGHWAY 30 W
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-0710
Practice Address - Country:US
Practice Address - Phone:979-264-0810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39594101YM0800X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health