Provider Demographics
NPI:1588858450
Name:MACKEL, DORI LYNN (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:DORI
Middle Name:LYNN
Last Name:MACKEL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LOST PEAK PATH
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-5457
Mailing Address - Country:US
Mailing Address - Phone:512-763-6385
Mailing Address - Fax:
Practice Address - Street 1:205 LOST PEAK PATH
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78633-5457
Practice Address - Country:US
Practice Address - Phone:512-763-6385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist