Provider Demographics
NPI:1295814440
Name:VOLET, DENESE (MA, LPC, CART)
Entity Type:Individual
Prefix:MS
First Name:DENESE
Middle Name:
Last Name:VOLET
Suffix:
Gender:F
Credentials:MA, LPC, CART
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MOUNT IDA RD
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:AL
Mailing Address - Zip Code:36049-6815
Mailing Address - Country:US
Mailing Address - Phone:832-876-2978
Mailing Address - Fax:
Practice Address - Street 1:19815 BAY BRANCH RD
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420
Practice Address - Country:US
Practice Address - Phone:334-222-2523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160826702Medicaid
TX7096548OtherAETNA
TX10011932OtherAMERIGROUP
TX6797LCOtherBLUE CROSS BLUE SHIELD