Provider Demographics
NPI:1689566143
Name:DUNBAR, TIA MARIE JAYNES (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TIA
Middle Name:MARIE JAYNES
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2785 GULF FWY S STE 2.204
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4979
Mailing Address - Country:US
Mailing Address - Phone:281-723-2547
Mailing Address - Fax:
Practice Address - Street 1:2785 GULF FWY S STE 2.204
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4979
Practice Address - Country:US
Practice Address - Phone:281-723-2547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX534601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical