Healthcare Provider Details

I. General information

NPI: 1225969157
Provider Name (Legal Business Name): JERRI JARRARD DOBELSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 OFFICE PARK DR STE 230
MOUNTAIN BRK AL
35223-3410
US

IV. Provider business mailing address

5191 REDFERN WAY
BIRMINGHAM AL
35242-3149
US

V. Phone/Fax

Practice location:
  • Phone: 205-825-1423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: