Provider Demographics
NPI:1649204611
Name:KUNNU, FELIX BANDELE (EDD, LPC/MHSP, NCC)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:BANDELE
Last Name:KUNNU
Suffix:
Gender:M
Credentials:EDD, LPC/MHSP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 FOSTER AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5340
Mailing Address - Country:US
Mailing Address - Phone:615-837-8100
Mailing Address - Fax:615-781-9713
Practice Address - Street 1:282 RICHBRIAR RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4941
Practice Address - Country:US
Practice Address - Phone:615-333-1509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000000596101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional