HOLLEY BROCK (NPI# 1780020602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780020602 |
| Entity Type | Individual |
| Full Name | HOLLEY BROCK |
| Credential | LPC |
| Practice Address |
408 Healthwest Dr Dothan AL 36303-2054 |
| Practice Telephone | 3347027222 |
| Practice Fax Number | 3347021944 |
| Mailing Telephone | 3347027222 |
| Mailing Fax Number | 3347021944 |
| Enumeration Date | 2013-05-18 |
| Last Update Date | 2013-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3129 | AL | Behavioral Health & Social Service Providers |
| Street Address |
408 HEALTHWEST DR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750303053 | Susannah C. Daughtry | Pharmacist | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2006-07-24 |
| 1669025854 | Chelesia Burkes-brown | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303 | 2019-07-17 |
| 1578921888 | Jenny Quevedo | Psychologist | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2016-02-01 |
| 1295166346 | Dothan Behavioral Medicine Clinic PC | Pharmacy | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-11-27 |
| 1538508643 | Angela Dawkins | Nurse Practitioner | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2013-06-21 |
| 1336277540 | Dothan Behavioral Medicine Clinic PC | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-03-01 |
| 1154471548 | Nelson Handal | Psychiatry & Neurology | 408 Healthwest Dr, Dothan, AL 36303-2054 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023656089 | Life Counseling Services | Counselor | 411 S Foster St, Dothan, AL 36301-2635 | 2019-12-20 |
| 1952955569 | Latonya L. Dorsey | Counselor | 101 Denise St, Dothan, AL 36305-9331 | 2019-07-31 |
| 1780169417 | Walter L Bowers | Counselor | 2256 Montgomery Hwy Ste 6, Dothan, AL 36303-3278 | 2018-09-27 |
| 1295275386 | Nautilus Life Solutions LLC | Counselor | 211 Aspen Cir, Dothan, AL 36303-2832 | 2017-03-08 |
| 1245690361 | New Foundations Counseling Services, LLC | Counselor | 181 Candle Brook Dr, Dothan, AL 36303-1877 | 2016-03-02 |
| 1104166958 | Claire Maria Treadwell | Counselor | 4606 Memphis Church Rd, Dothan, AL 36301-8385 | 2013-02-14 |
| 1134411325 | The Counseling Place | Counselor | 2310 S Brannon Stand Rd, 1, Dothan, AL 36305-7004 | 2011-05-06 |
| 1891097457 | Impact Behavioral Services | Counselor | 256 Honeysuckle Rd., Dothan, AL 36305-1168 | 2010-12-02 |
| 1457683146 | Craig Dennis Boesch | Counselor | 600 Earline Rd, Dothan, AL 36305-4226 | 2010-02-04 |
| 1043449424 | Mary Frances Lockwood | Counselor | 218 Wicklow Dr, Dothan, AL 36303-1647 | 2009-07-07 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.