Provider Demographics
NPI:1114631868
Name:DORSEY, ERYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ERYN
Middle Name:
Last Name:DORSEY
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 1:2010 ACORN GLEN TRL
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-6026
Mailing Address - Country:US
Mailing Address - Phone:281-995-8529
Mailing Address - Fax:
Practice Address - Street 1:1770 SAINT JAMES PL STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3432
Practice Address - Country:US
Practice Address - Phone:832-776-5825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX592631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical