Provider Demographics
NPI:1417299652
Name:DUNLAP, FELISA M (LMFT)
Entity type:Individual
Prefix:MS
First Name:FELISA
Middle Name:M
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WEBB RD
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-7214
Mailing Address - Country:US
Mailing Address - Phone:423-218-9468
Mailing Address - Fax:833-523-2283
Practice Address - Street 1:101 WEBB RD
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-7214
Practice Address - Country:US
Practice Address - Phone:423-218-9468
Practice Address - Fax:833-523-2283
Is Sole Proprietor?:No
Enumeration Date:2013-03-26
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2558101Y00000X, 101YA0400X, 101YM0800X, 106H00000X
TX204138101Y00000X, 101YM0800X, 101YA0400X, 106H00000X
NV01462101Y00000X, 101YA0400X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health