Healthcare Provider Details

I. General information

NPI: 1396315016
Provider Name (Legal Business Name): DANIELLE DUNKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 INTERSTATE NORTH CIR SE STE 200
ATLANTA GA
30339-2384
US

IV. Provider business mailing address

3000 WINDY HILL RD SE UNIT 673544
MARIETTA GA
30006-0278
US

V. Phone/Fax

Practice location:
  • Phone: 470-851-6337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC006780
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: