Provider Demographics
NPI:1982216883
Name:DUNLAP, ELIZABETH COLLEY (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:COLLEY
Last Name:DUNLAP
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 1:5527 MERCEDES AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5821
Mailing Address - Country:US
Mailing Address - Phone:706-202-3116
Mailing Address - Fax:
Practice Address - Street 1:5600 W LOVERS LN STE 317
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75209-4329
Practice Address - Country:US
Practice Address - Phone:706-202-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX565611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical