MS. DOMINIQUE C DILLARD (NPI# 1770054553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770054553 |
Entity Type | Individual |
Full Name | MS. DOMINIQUE C DILLARD |
Credential | LPC |
Practice Address |
929 Willowbrook Dr Se Ofc Park Huntsville AL 35802-3265 |
Mailing Address |
4212 Irondale Dr Nw Huntsville AL 35810-1928 |
Practice Telephone | 2566315410 |
Mailing Telephone | 2566315410 |
Enumeration Date | 2018-12-05 |
Last Update Date | 2018-12-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 3984 | AL | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3984 | AL | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
3984 | AL | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 3984 | AL | Behavioral Health & Social Service Providers |
N | 102L00000X | Psychoanalyst | 3984 | AL | Behavioral Health & Social Service Providers |
Street Address |
929 WILLOWBROOK DR SE OFC PARK |
City | HUNTSVILLE |
State | AL |
Zip Code | 35802-3265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174187371 | Susan R. Bechert | Social Worker | Huntsville Psychotherapy and Counseling Services, 7540 S. Memorial Parkway, Suite W, Huntsville, AL 35802 | 2019-04-24 |
1932601416 | Crystal Gaskins | Nurse Practitioner | 700 Airport Road Suite D, Huntsville, AL 35802 | 2018-03-01 |
1073032736 | Emily Rachel Lapidus | Specialist/Technologist | 310 Devon Circle, Huntsville, AL 35802 | 2017-09-13 |
1467992727 | Thrive At Jones Farm | Assisted Living Facility | 2238 Cecil Ashburn Dr Se, Huntsville, AL 35802 | 2017-03-06 |
1922554641 | Acts Signature Community Services, Inc. | Internal Medicine | One Clubhouse Avenue, Huntsville, AL 35802 | 2016-09-01 |
1578018438 | Sarah Thompson | Marriage & Family Therapist | 116 Lily Flagg Rd Sw Ste D, Huntsville, AL 35802 | 2016-08-22 |
1124489166 | Nadine Wormsbacher | Massage Therapist | 919 Willowbrook Dr Suite D, Huntsville, AL 35802 | 2016-03-18 |
1962761486 | Alfred Lawrence Watson | Internal Medicine | 2112 Clubhouse Ave, Huntsville, AL 35802 | 2012-05-04 |
1992073449 | Susan Gosdin Weiler | Pharmacist | 2784 Carl T Jones Drive, Huntsville, AL 35802 | 2011-12-12 |
1518257823 | Bonnie Jo Ferguson | Pharmacist | 4096 Whitesburg Drive, Huntsville, AL 35802 | 2011-04-08 |
Find all providers in zip 35802 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357810 | Laura Stisher Counseling, LLC | Counselor | 11591 Jade Ln Se, Huntsville, AL 35803-1576 | 2020-08-17 |
1902417215 | Anna Huber | Counselor | 113 Longwood Dr Sw Ste C, Huntsville, AL 35801-4511 | 2020-08-11 |
1558970442 | Bright Solutions Counseling and Consulting LLC | Counselor | 2211 Seminole Dr Sw # 1063, Huntsville, AL 35805-3848 | 2020-07-27 |
1538705124 | Robin Gail Malone | Counselor | 7734 Madison Blvd Ste 127, Huntsville, AL 35806-2382 | 2019-11-19 |
1558826297 | Fame Life Coaching and Consulting | Counselor | 3077 Leeman Ferry Rd Sw Ste B12, Huntsville, AL 35801-5614 | 2019-02-06 |
1477026813 | Susan Elizabeth Henderson | Counselor | 2804 Lake Rd Ste 2, Huntsville, TX 77340-5626 | 2019-01-08 |
1962973792 | Tawana Denise Helmich | Counselor | 917 Willowbrook Dr Se Ste E, Huntsville, AL 35802-3263 | 2018-12-05 |
1538654215 | Amanda L Moore | Counselor | 555 Sparkman Dr Nw Ste 1615, Huntsville, AL 35816-3431 | 2018-06-26 |
1750801122 | Emily Higgins West | Counselor | 3315 Bob Wallace Ave Sw Ste 107, Huntsville, AL 35805-4062 | 2017-06-26 |
1912447921 | Gabrielle Jackson | Counselor | 115 Chase Rd Nw, Huntsville, AL 35811-1119 | 2017-02-24 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35802 |
Please comment or provide details below to improve the information on MS. DOMINIQUE C DILLARD.
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.