Provider Demographics
NPI:1467937409
Name:VAUGHN, ERIN DORSETT (MS, NCC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:DORSETT
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 HILLCREST RD STE 2G
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3955
Mailing Address - Country:US
Mailing Address - Phone:251-751-0133
Mailing Address - Fax:
Practice Address - Street 1:1120 HILLCREST RD STE 2G
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-3955
Practice Address - Country:US
Practice Address - Phone:251-751-0133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health