Provider Demographics
NPI:1740850502
Name:GBORIE-MINOR BEY, DORINDA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DORINDA
Middle Name:
Last Name:GBORIE-MINOR BEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17830 STROLLING STREAM LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5098
Mailing Address - Country:US
Mailing Address - Phone:281-901-2605
Mailing Address - Fax:
Practice Address - Street 1:17830 STROLLING STREAM LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5098
Practice Address - Country:US
Practice Address - Phone:281-901-2605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-24
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX654451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty