Healthcare Provider Details

I. General information

NPI: 1053082024
Provider Name (Legal Business Name): KA'TORA DUNN LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2021
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1795 ALYSHEBA WAY STE 7203
LEXINGTON KY
40509-2481
US

IV. Provider business mailing address

1795 ALYSHEBA WAY STE 7203
LEXINGTON KY
40509-2481
US

V. Phone/Fax

Practice location:
  • Phone: 859-320-7019
  • Fax:
Mailing address:
  • Phone: 859-320-7019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number299797
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: