Provider Demographics
NPI:1558548925
Name:DUNBAR, FARANITA (LIMHP)
Entity Type:Individual
Prefix:
First Name:FARANITA
Middle Name:
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6223 MAPLE ST UNIT 4871
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-4181
Mailing Address - Country:US
Mailing Address - Phone:402-590-4633
Mailing Address - Fax:206-309-9598
Practice Address - Street 1:6223 MAPLE ST UNIT 4871
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68104-4181
Practice Address - Country:US
Practice Address - Phone:402-590-4633
Practice Address - Fax:206-309-9598
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE824101YM0800X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral