Provider Demographics
NPI:1841477791
Name:PROCTER DOBBINS, ALSYLVIA (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:ALSYLVIA
Middle Name:
Last Name:PROCTER DOBBINS
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 834
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36854-0834
Mailing Address - Country:US
Mailing Address - Phone:706-518-1194
Mailing Address - Fax:334-576-2207
Practice Address - Street 1:626 1ST STREET SE
Practice Address - Street 2:
Practice Address - City:WEDOWEE
Practice Address - State:AL
Practice Address - Zip Code:36278-0000
Practice Address - Country:US
Practice Address - Phone:706-518-1194
Practice Address - Fax:334-576-2207
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2015-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC 2095101YP2500X
GALPC 004971101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional