Healthcare Provider Details

I. General information

NPI: 1760332001
Provider Name (Legal Business Name): DOROTHYS DAUGHTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9610 MARGRAVE DR
GASTONIA NC
28056-9505
US

IV. Provider business mailing address

9610 MARGRAVE DR
GASTONIA NC
28056-9505
US

V. Phone/Fax

Practice location:
  • Phone: 704-461-3525
  • Fax:
Mailing address:
  • Phone: 704-461-3525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YOLANDA HALL MILLER
Title or Position: OWNER
Credential: LCSW
Phone: 631-745-6970