DALLY NICOLE DOUGLAS MS, RBT
NPI 1730605825
Counselor in Little River, SC

Q: What is Dally Douglas's NPI number?

The NPI number for Dally Douglas is 1730605825. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Q: What is Dally Douglas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Dally Douglas was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 21, 2017

4313 RIVER GATE LN, LITTLE RIVER, SC 29566(910) 545-8353 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 26, 2024, Jul 21, 2022, Aug 21, 2017 (3 updates tracked since 2017).

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About Dally Nicole Douglas Ms, Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLY NICOLE DOUGLAS MS, RBT (NPI 1730605825) is an individual counselor in Little River, South Carolina and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1730605825

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameDALLY NICOLE DOUGLASCredential: MS, RBT

Location Address4313 RIVER GATE LNLittle River, SC 29566-6828

Mailing Address4313 River Gate LnLittle River, SC 29566-6828 · (910) 545-8353

Phone(910) 545-8353

Sole ProprietorYes

Enumeration DateAugust 21, 2017

Last NPPES UpdateApril 26, 20243 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1730605825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4313 RIVER GATE LN, Little River, SC 29566

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dally Douglas's NPI number?

The NPI number for Dally Douglas is 1730605825. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Dally Douglas located?

Dally Douglas practices at 4313 River Gate Ln, Little River, SC 29566. The listed phone number is (910) 545-8353.

What is Dally Douglas's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Dally Douglas was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.