Provider Demographics
NPI:1588211908
Name:DOLINSKY, KATIE THIBOUTOT (LMFT)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:THIBOUTOT
Last Name:DOLINSKY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4763
Mailing Address - Country:US
Mailing Address - Phone:401-598-6791
Mailing Address - Fax:
Practice Address - Street 1:201 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4763
Practice Address - Country:US
Practice Address - Phone:401-598-6791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3623106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist