Provider Demographics
NPI:1922512888
Name:DEBORAH DORRIS LPC LLC
Entity Type:Organization
Organization Name:DEBORAH DORRIS LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-676-3488
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:WETUMPKA
Mailing Address - State:AL
Mailing Address - Zip Code:36092-0002
Mailing Address - Country:US
Mailing Address - Phone:334-676-3488
Mailing Address - Fax:334-245-0156
Practice Address - Street 1:6249 US HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:WETUMPKA
Practice Address - State:AL
Practice Address - Zip Code:36092-2831
Practice Address - Country:US
Practice Address - Phone:334-676-3488
Practice Address - Fax:334-245-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1384261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health