Provider Demographics
NPI:1972297398
Name:SEALS, DORCAS (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DORCAS
Middle Name:
Last Name:SEALS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6716 SHANNON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78724-3632
Mailing Address - Country:US
Mailing Address - Phone:512-799-0872
Mailing Address - Fax:
Practice Address - Street 1:6711 JOHNNY MORRIS RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78724-3507
Practice Address - Country:US
Practice Address - Phone:512-414-2578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21367104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker