Healthcare Provider Details

I. General information

NPI: 1083535405
Provider Name (Legal Business Name): MARY BUNSTINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6455 POST RD STE B
DUBLIN OH
43016-1225
US

IV. Provider business mailing address

6455 POST RD STE B
DUBLIN OH
43016-1225
US

V. Phone/Fax

Practice location:
  • Phone: 888-909-4889
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2607984-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: