Provider Demographics
NPI:1083049415
Name:DORSEY, GLORIA MCLEOD (BACHELOR OF SCIENCE)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:MCLEOD
Last Name:DORSEY
Suffix:
Gender:F
Credentials:BACHELOR OF SCIENCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BAXLEY RD
Mailing Address - Street 2:
Mailing Address - City:HEMINGWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29554-6641
Mailing Address - Country:US
Mailing Address - Phone:843-558-4444
Mailing Address - Fax:
Practice Address - Street 1:160 BAXLEY RD
Practice Address - Street 2:
Practice Address - City:HEMINGWAY
Practice Address - State:SC
Practice Address - Zip Code:29554-6641
Practice Address - Country:US
Practice Address - Phone:843-558-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor