Provider Demographics
NPI:1700315454
Name:KUNATH, ERIN TAYLOR
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:TAYLOR
Last Name:KUNATH
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ERIN
Other - Middle Name:TAYLOR
Other - Last Name:HARNESS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1684 APPLE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084-1406
Mailing Address - Country:US
Mailing Address - Phone:847-409-7823
Mailing Address - Fax:
Practice Address - Street 1:1845 GRANDSTAND PL
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-6603
Practice Address - Country:US
Practice Address - Phone:847-695-0484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-07
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator