Provider Demographics
NPI:1720198476
Name:HENSLEY, DOROTHY (QP)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:QP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 S ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-3110
Mailing Address - Country:US
Mailing Address - Phone:704-231-5061
Mailing Address - Fax:704-785-9613
Practice Address - Street 1:201 N CHURCH ST STE M
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-2505
Practice Address - Country:US
Practice Address - Phone:704-231-5061
Practice Address - Fax:704-785-9613
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker