Provider Demographics
NPI:1265165393
Name:ELANA DUNN LPC
Entity type:Organization
Organization Name:ELANA DUNN LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ELANA
Authorized Official - Middle Name:AVRIELLE
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-736-5564
Mailing Address - Street 1:4255 SMOKECREEK PKWY LOT 76A
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-6792
Mailing Address - Country:US
Mailing Address - Phone:404-736-5564
Mailing Address - Fax:
Practice Address - Street 1:4255 SMOKECREEK PKWY LOT 76A
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-6792
Practice Address - Country:US
Practice Address - Phone:404-736-5564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health