Provider Demographics
NPI:1780175455
Name:DUNLAP COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:DUNLAP COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-309-7436
Mailing Address - Street 1:910 PIERREMONT RD STE 255
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-2063
Mailing Address - Country:US
Mailing Address - Phone:318-309-7436
Mailing Address - Fax:866-273-2859
Practice Address - Street 1:910 PIERREMONT RD STE 255
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-2063
Practice Address - Country:US
Practice Address - Phone:318-309-7436
Practice Address - Fax:866-273-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3708101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty