Provider Demographics
NPI:1235189804
Name:MOTTE, DORIS B (LPC)
Entity Type:Individual
Prefix:MS
First Name:DORIS
Middle Name:B
Last Name:MOTTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3541
Mailing Address - Country:US
Mailing Address - Phone:704-576-4980
Mailing Address - Fax:704-731-2519
Practice Address - Street 1:323 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4301
Practice Address - Country:US
Practice Address - Phone:704-576-4980
Practice Address - Fax:704-731-2519
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4360101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC141UUOtherBLUE CROSS/BLUE SHIELD
NC026848OtherVMC BEHAVIORAL HEALTH
NC183910OtherMEDCOST
NC369248OtherMHN
NC6102984Medicaid
NC234748OtherCOMPSYCH
NC826092000OtherMAGELLAN