Healthcare Provider Details

I. General information

NPI: 1033049895
Provider Name (Legal Business Name): MR. DUNN BAPTISTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S JONES BLVD
LAS VEGAS NV
89107-3614
US

IV. Provider business mailing address

3800 DALECREST DR UNIT 1064
LAS VEGAS NV
89129-1795
US

V. Phone/Fax

Practice location:
  • Phone: 702-331-4874
  • Fax: 702-446-8034
Mailing address:
  • Phone: 786-399-8166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: