Healthcare Provider Details

I. General information

NPI: 1265026199
Provider Name (Legal Business Name): DR. PAIGE DUNLAP AND COMPANY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 W CONE BLVD STE 245
GREENSBORO NC
27408-4057
US

IV. Provider business mailing address

6 SHORTHORN CT
GREENSBORO NC
27405-9765
US

V. Phone/Fax

Practice location:
  • Phone: 336-279-4634
  • Fax: 214-889-3544
Mailing address:
  • Phone: 505-906-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. PAIGE DUNLAP
Title or Position: OWNER/LEAD CLINICIAN
Credential: LCMHC-S, NCC, CRC
Phone: 505-906-1333