Provider Demographics
NPI:1851006134
Name:KUNAKA, TATENDA LORRAINE (LMHCA)
Entity Type:Individual
Prefix:
First Name:TATENDA
Middle Name:LORRAINE
Last Name:KUNAKA
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 SHELBY ST STE 31
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-1167
Mailing Address - Country:US
Mailing Address - Phone:317-647-6507
Mailing Address - Fax:
Practice Address - Street 1:735 SHELBY ST STE 31
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-1167
Practice Address - Country:US
Practice Address - Phone:317-647-6507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health