Healthcare Provider Details

I. General information

NPI: 1205791498
Provider Name (Legal Business Name): DUNN BEHAVIORAL HEALTH COUNSELING OF GEORGIA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 THE LAKES BLVD STE 218
KINGSLAND GA
31548-6814
US

IV. Provider business mailing address

11849 PALM BAY PKWY APT 2220
JACKSONVILLE FL
32256-1997
US

V. Phone/Fax

Practice location:
  • Phone: 252-245-2590
  • Fax: 888-414-8217
Mailing address:
  • Phone: 252-245-2590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MS. MAGGIE DUNN
Title or Position: OWNER
Credential: LPC, NCC, CPCS
Phone: 252-245-2590