Provider Demographics
NPI:1720967649
Name:DUNAVANT, LYNN FORREST (HSP)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:FORREST
Last Name:DUNAVANT
Suffix:
Gender:F
Credentials:HSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3412 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-3417
Mailing Address - Country:US
Mailing Address - Phone:615-496-7583
Mailing Address - Fax:
Practice Address - Street 1:3412 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3417
Practice Address - Country:US
Practice Address - Phone:615-496-7583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN1392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health