Healthcare Provider Details

I. General information

NPI: 1841935020
Provider Name (Legal Business Name): HANNAH DUNSMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 21ST AVE S
NASHVILLE TN
37212-4342
US

IV. Provider business mailing address

599 SHETLAND AVE
BOWLING GREEN KY
42104-7537
US

V. Phone/Fax

Practice location:
  • Phone: 615-492-6700
  • Fax:
Mailing address:
  • Phone: 832-330-2326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: