ANN DOHERTY LPC NPI 1336192418

NPI Information

NPI: 1336192418
Provider Name: ANN DOHERTY, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
936 W 4TH ST
WINSTON-SALEM, NC
ZIP 27101
Phone: (336) 655-5702
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Ann Doherty, LPC is a mental health counselor in Winston-salem, NC. Ann Doherty, LPC NPI is 1336192418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

936 W 4TH ST
WINSTON-SALEM, NC
ZIP 27101-564
Phone: (336) 655-5702
Fax: (336) 724-2706

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2052	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6102668	MEDICAID	NORTH CAROLINA
2	1333F	OTHER	NORTH CAROLINA	BLUE CROSS/BLUE SHEILD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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