Organization Active NPI

Dorsey Behavioral Health Spiritual Healing PLLC

  • Clinical Social Worker
  • Richmond, TX
National Provider Identifier
1417566159
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DORSEY BEHAVIORAL HEALTH SPIRITUAL HEALING PLLC
Practice address
25603 Creston Meadow Dr
Richmond, TX 77406-7285
Phone
(248) 924-7439
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dorothy Aguwa, LCSW
Title
Ceo
Phone
(248) 924-7439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

25603 Creston Meadow Dr
Richmond, TX 77406-7285

Mailing address

25603 Creston Meadow Dr
Richmond, TX 77406-7285
Phone (248) 924-7439

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1417566159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25603 CRESTON MEADOW DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067285",
            "telephone_number": "248-924-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25603 CRESTON MEADOW DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774067285",
            "telephone_number": "248-924-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORSEY BEHAVIORAL HEALTH SPIRITUAL HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "AGUWA",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-924-7439",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.