Provider Demographics
NPI:1043275746
Name:DOUGHTY, FLORENCE (LCSW, PIP)
Entity Type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:
Last Name:DOUGHTY
Suffix:
Gender:F
Credentials:LCSW, PIP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14370 MUIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613-8122
Mailing Address - Country:US
Mailing Address - Phone:256-216-1526
Mailing Address - Fax:
Practice Address - Street 1:475 PROVIDENCE MAIN ST NW
Practice Address - Street 2:SUITE 401
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4815
Practice Address - Country:US
Practice Address - Phone:256-716-0811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1980C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical