Healthcare Provider Details

I. General information

NPI: 1215673785
Provider Name (Legal Business Name): MRS. SHERRILYN DENISE DOVI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 05/09/2022
Certification Date: 05/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 TRUMPET CIRCLE
HOOVER AL
35226-4916
US

IV. Provider business mailing address

637 TRUMPET CIRCLE
HOOVER AL
35226-4916
US

V. Phone/Fax

Practice location:
  • Phone: 404-867-6717
  • Fax:
Mailing address:
  • Phone: 404-867-6717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateAL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: