Provider Demographics
NPI:1396289708
Name:DOVER COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:DOVER COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOVER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:334-417-0212
Mailing Address - Street 1:526 BOLL WEEVIL CIR
Mailing Address - Street 2:OFFICE B
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36330-4012
Mailing Address - Country:US
Mailing Address - Phone:334-417-0212
Mailing Address - Fax:334-417-0213
Practice Address - Street 1:526 BOLL WEEVIL CIR
Practice Address - Street 2:OFFICE B
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-4012
Practice Address - Country:US
Practice Address - Phone:334-417-0212
Practice Address - Fax:334-417-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty