Provider Demographics
NPI:1518055656
Name:PDSS, INC
Entity Type:Organization
Organization Name:PDSS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSETTA
Authorized Official - Middle Name:SHARP
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:256-238-0451
Mailing Address - Street 1:1910 NOBLE ST
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-3214
Mailing Address - Country:US
Mailing Address - Phone:256-238-0451
Mailing Address - Fax:256-238-0446
Practice Address - Street 1:1910 NOBLE ST
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-3214
Practice Address - Country:US
Practice Address - Phone:256-238-0451
Practice Address - Fax:256-238-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty