Healthcare Provider Details

I. General information

NPI: 1770134439
Provider Name (Legal Business Name): NINA DUNN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NINA GREEN

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5202 W 29TH ST
LITTLE ROCK AR
72204-5058
US

IV. Provider business mailing address

5202 W 29TH ST
LITTLE ROCK AR
72204-5058
US

V. Phone/Fax

Practice location:
  • Phone: 501-510-0242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2209000
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number100837
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: