Healthcare Provider Details

I. General information

NPI: 1205444312
Provider Name (Legal Business Name): WILLIAM LEONARD DUNBAR IV M.ED., LPCS, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1069 BAYSHORE DR STE 210A
ROCK HILL SC
29732-1569
US

IV. Provider business mailing address

5185 STAR MAGNOLIA CT
CLOVER SC
29710-7122
US

V. Phone/Fax

Practice location:
  • Phone: 803-601-9870
  • Fax:
Mailing address:
  • Phone: 803-601-9870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7002
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: