Healthcare Provider Details

I. General information

NPI: 1750723367
Provider Name (Legal Business Name): HELEN DUNN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 07/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 JACARANDA BLVD
VENICE FL
34292-4586
US

IV. Provider business mailing address

303 KEYSTONE RD
VENICE FL
34292-2519
US

V. Phone/Fax

Practice location:
  • Phone: 941-497-1117
  • Fax: 941-492-3455
Mailing address:
  • Phone: 941-441-8040
  • Fax: 941-485-3779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW5305
License Number StateFL

VIII. Authorized Official

Name: HELEN DUNN
Title or Position: LCSW
Credential: LCSW
Phone: 941-441-8040