Provider Demographics
NPI:1386966018
Name:DOWL, DORLENE ELLEN (M ED, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DORLENE
Middle Name:ELLEN
Last Name:DOWL
Suffix:
Gender:F
Credentials:M ED, LPC, NCC
Other - Prefix:
Other - First Name:DORLENE
Other - Middle Name:ELLLEN
Other - Last Name:WALEHWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M ED, LPC, NCC
Mailing Address - Street 1:785 KING GEORGE BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419
Mailing Address - Country:US
Mailing Address - Phone:314-717-5273
Mailing Address - Fax:912-303-8703
Practice Address - Street 1:785 KING GEORGE BLVD
Practice Address - Street 2:STE A
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419
Practice Address - Country:US
Practice Address - Phone:314-717-5273
Practice Address - Fax:912-303-8703
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009625101YM0800X
MO2009032852101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1386966018Medicaid
GALPC009625OtherGEORGIA LICENSED PROFESSIONAL COUNSELOR