Basic Information
Provider Information
NPI: 1780765891
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCALLISTER
FirstName: DOROTHY
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 215 N. MAGNOLIA ST.
Address2:  
City: SUMTER
State: SC
PostalCode: 291511946
CountryCode: US
TelephoneNumber: 8037759364
FaxNumber: 8037736615
Practice Location
Address1: 817 BROWN ST.
Address2:  
City: BISHOPVILLE
State: SC
PostalCode: 29010
CountryCode: US
TelephoneNumber: 8034849414
FaxNumber: 8034844299
Other Information
ProviderEnumerationDate: 10/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home