Provider Demographics
NPI:1316620339
Name:PLOOF, DENNIS BRADLEY (MS, ALC)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:BRADLEY
Last Name:PLOOF
Suffix:
Gender:M
Credentials:MS, ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 AL HIGHWAY 75 N STE B
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35951-3837
Mailing Address - Country:US
Mailing Address - Phone:256-660-0796
Mailing Address - Fax:
Practice Address - Street 1:319 AL HIGHWAY 75 N STE B
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35951-3837
Practice Address - Country:US
Practice Address - Phone:256-513-9220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
ALALC04533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional