Provider Demographics
NPI:1689139438
Name:DORSEY, DARNELL DERISE (EDD, MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:DARNELL
Middle Name:DERISE
Last Name:DORSEY
Suffix:
Gender:F
Credentials:EDD, MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1916 PELOPIDAS ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3027
Mailing Address - Country:US
Mailing Address - Phone:504-494-2742
Mailing Address - Fax:
Practice Address - Street 1:2751 WOODDALE BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-7567
Practice Address - Country:US
Practice Address - Phone:225-362-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6698101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional