Provider Demographics
NPI:1770667123
Name:DORSEY, PATRICIA ELAINE (BA)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ELAINE
Last Name:DORSEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:ELAINE
Other - Last Name:NEELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:3685 TCHULAHOMA RD
Mailing Address - Street 2:MEN
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118
Mailing Address - Country:US
Mailing Address - Phone:901-546-9195
Mailing Address - Fax:
Practice Address - Street 1:3810 WINCHESTER RD
Practice Address - Street 2:SOUTHEAST MENTAL HEALTH CENTER
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-9007
Practice Address - Country:US
Practice Address - Phone:901-369-1420
Practice Address - Fax:901-369-1433
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator