Provider Demographics
NPI:1053136226
Name:THERAPY DUNN WELL, PLLC
Entity type:Organization
Organization Name:THERAPY DUNN WELL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LANIESHA
Authorized Official - Middle Name:MONE'
Authorized Official - Last Name:STEPHENS-DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, DSW
Authorized Official - Phone:804-590-4878
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-0042
Mailing Address - Country:US
Mailing Address - Phone:804-590-4878
Mailing Address - Fax:
Practice Address - Street 1:1308 SATTERFIELD DR
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-2718
Practice Address - Country:US
Practice Address - Phone:804-590-4878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty