Provider Demographics
NPI:1477434918
Name:BAYLES, DORIAN BROOKE (ALC)
Entity type:Individual
Prefix:
First Name:DORIAN
Middle Name:BROOKE
Last Name:BAYLES
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 SELMA RD
Mailing Address - Street 2:
Mailing Address - City:MONTEVALLO
Mailing Address - State:AL
Mailing Address - Zip Code:35115-4137
Mailing Address - Country:US
Mailing Address - Phone:251-564-4058
Mailing Address - Fax:
Practice Address - Street 1:101 AVIATORS VIEW DR STE 101A
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-5087
Practice Address - Country:US
Practice Address - Phone:205-644-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health