Provider Demographics
NPI:1629351648
Name:DORRIS COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:DORRIS COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:DORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S, LICDC
Authorized Official - Phone:740-497-4881
Mailing Address - Street 1:PO BOX 1088
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-5088
Mailing Address - Country:US
Mailing Address - Phone:740-497-4881
Mailing Address - Fax:740-497-4882
Practice Address - Street 1:906 N COURT ST
Practice Address - Street 2:SUITE C
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1230
Practice Address - Country:US
Practice Address - Phone:740-497-4881
Practice Address - Fax:740-497-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH82786101YA0400X
OHE1253101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty