Healthcare Provider Details

I. General information

NPI: 1770381022
Provider Name (Legal Business Name): BUNNS CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16512 GOSSAMER DR
MOSELEY VA
23120-2307
US

IV. Provider business mailing address

16512 GOSSAMER DR
MOSELEY VA
23120-2307
US

V. Phone/Fax

Practice location:
  • Phone: 804-618-8122
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATRINA BUNNS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 804-297-9860