MEDICARE: LINDSEY KATHLEEN DUNNAGAN LMFT, LCPC, LPCC,SAP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	3983	CA
2	101YM0800X	Mental Health Counselor	CP3284R	NV
3	101YP2500X	Professional Counselor	8957	CA
4	106H00000X	Marriage & Family Therapist	99908	CA
5	106H00000X	Marriage & Family Therapist	2855-R	NV
6	106H00000X	Marriage & Family Therapist		NV
7	106H00000X	Marriage & Family Therapist	110754	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2855-R	OTHER	NV	LICENSE

General Provider Information

NPI Number	:	1760901383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY KATHLEEN DUNNAGAN LMFT, LCPC, LPCC,SAP

Provider Business Mailing Address
First Line	:	187 E WARM SPRINGS ROAD
Second Line	:	STE B157
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4110
Country	:	US
Telephone Number	:	702-899-1950
Fax Number	:	725-999-1013

Provider Business Practice Location Address
First Line	:	187 E WARM SPRINGS ROAD
Second Line	:	STE B157
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4110
Country	:	US
Telephone Number	:	702-899-1950
Fax Number	:	725-999-1013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2017
Last Update Date	:	05/13/2025

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