Healthcare Provider Details

I. General information

NPI: 1720952344
Provider Name (Legal Business Name): DOOLEY EDWARDS BEHAVIORAL HEALTH & COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11700 OLD MARLBORO PIKE
UPPER MARLBORO MD
20772-2901
US

IV. Provider business mailing address

100 BOB WHITE TRL
FAYETTEVILLE GA
30215-5405
US

V. Phone/Fax

Practice location:
  • Phone: 678-502-8248
  • Fax:
Mailing address:
  • Phone: 678-749-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HAROLYN DOOLEY DOOLEY EDWARDS
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 678-749-5480