Provider Demographics
NPI:1295559136
Name:COURTNEY DUNN LCSW THERAPY PLLC
Entity type:Organization
Organization Name:COURTNEY DUNN LCSW THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-813-7150
Mailing Address - Street 1:3143 41ST ST
Mailing Address - Street 2:1RD
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3904
Mailing Address - Country:US
Mailing Address - Phone:631-813-7150
Mailing Address - Fax:
Practice Address - Street 1:3143 41ST ST
Practice Address - Street 2:1RD
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3904
Practice Address - Country:US
Practice Address - Phone:631-813-7150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty