Healthcare Provider Details

I. General information

NPI: 1760757843
Provider Name (Legal Business Name): MR. BRITAIN DUNAWAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BRIT DUNAWAY MAC, LCPC

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N MAIN ST
MORTON IL
61550-2026
US

IV. Provider business mailing address

204 N MAIN ST
MORTON IL
61550-2026
US

V. Phone/Fax

Practice location:
  • Phone: 309-320-8840
  • Fax: 309-320-8808
Mailing address:
  • Phone: 309-320-8840
  • Fax: 309-320-8808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.007918
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.007918
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: