Provider Demographics
NPI:1952839938
Name:DUNN, LA TONYA (MFT)
Entity Type:Individual
Prefix:
First Name:LA TONYA
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:LA TONYA
Other - Middle Name:
Other - Last Name:DUNN DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:3568 HABERSHAM AT NORTHLAKE
Mailing Address - Street 2:BLDG. K
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084
Mailing Address - Country:US
Mailing Address - Phone:678-585-2300
Mailing Address - Fax:770-302-0892
Practice Address - Street 1:5755 N POINT PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-1152
Practice Address - Country:US
Practice Address - Phone:678-310-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001441106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist