Basic Information
| Provider Information | |||||||||
| NPI: | 1295744431 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOONEY | ||||||||
| FirstName: | DOROTHY | ||||||||
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| Credential: | LPC, LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 107 E SEALY ST | ||||||||
| Address2: | |||||||||
| City: | ALVIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775112440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815850000 | ||||||||
| FaxNumber: | 2815850080 | ||||||||
| Practice Location | |||||||||
| Address1: | 107 E SEALY ST | ||||||||
| Address2: | |||||||||
| City: | ALVIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775112440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815850000 | ||||||||
| FaxNumber: | 2815850080 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 14841 | TX | X | Behavioral Health & Social Service Providers | Counselor | Professional | 106H00000X | 4854 | TX | X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.