Provider Demographics
NPI:1275242109
Name:GODOY-DOTY, ROSELI N/A (LPC, LMFT-A)
Entity Type:Individual
Prefix:MRS
First Name:ROSELI
Middle Name:N/A
Last Name:GODOY-DOTY
Suffix:
Gender:F
Credentials:LPC, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 HERON POND LN
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-6805
Mailing Address - Country:US
Mailing Address - Phone:214-403-1455
Mailing Address - Fax:
Practice Address - Street 1:508 S ELM ST STE 108
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6081
Practice Address - Country:US
Practice Address - Phone:214-403-1455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85045101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional