Provider Demographics
NPI:1588178750
Name:DORSEY, LEE A (PHDF)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:A
Last Name:DORSEY
Suffix:
Gender:F
Credentials:PHDF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6363
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36660-0363
Mailing Address - Country:US
Mailing Address - Phone:251-422-6689
Mailing Address - Fax:
Practice Address - Street 1:118 CRENSHAW ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-1910
Practice Address - Country:US
Practice Address - Phone:251-422-6689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
AL1155101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health