Provider Demographics
NPI:1023225208
Name:DOUCETTE, DAWN MICHELLE (MSW)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MICHELLE
Last Name:DOUCETTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 GULF BLVD
Mailing Address - Street 2:UNIT 8
Mailing Address - City:BELLEAIR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33786
Mailing Address - Country:US
Mailing Address - Phone:941-320-9819
Mailing Address - Fax:
Practice Address - Street 1:2100 GULF BLVD
Practice Address - Street 2:UNIT 8
Practice Address - City:BELLEAIR BEACH
Practice Address - State:FL
Practice Address - Zip Code:33786
Practice Address - Country:US
Practice Address - Phone:941-320-9819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical