Provider Demographics
NPI:1770301582
Name:DOLLEY, JOYCE SEDGWICK (RICMHC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:SEDGWICK
Last Name:DOLLEY
Suffix:
Gender:F
Credentials:RICMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 LAUREL OAK DR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-2301
Mailing Address - Country:US
Mailing Address - Phone:239-910-1641
Mailing Address - Fax:
Practice Address - Street 1:2487 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2542
Practice Address - Country:US
Practice Address - Phone:407-657-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health