Provider Demographics
NPI:1912564873
Name:DUNAWAY, ROSE ELAINE (LPC)
Entity type:Individual
Prefix:MS
First Name:ROSE
Middle Name:ELAINE
Last Name:DUNAWAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W DUBLIN DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-3157
Mailing Address - Country:US
Mailing Address - Phone:256-258-8615
Mailing Address - Fax:
Practice Address - Street 1:120 W DUBLIN DR STE 202
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3157
Practice Address - Country:US
Practice Address - Phone:205-475-5703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-24
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05632101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor