Provider Demographics
NPI:1699407387
Name:KATHLEEN DOLLARD, LMHC LLC
Entity Type:Organization
Organization Name:KATHLEEN DOLLARD, LMHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-238-1836
Mailing Address - Street 1:97 CENTRAL ST STE 402G
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1911
Mailing Address - Country:US
Mailing Address - Phone:413-238-1836
Mailing Address - Fax:
Practice Address - Street 1:97 CENTRAL ST STE 402G
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1911
Practice Address - Country:US
Practice Address - Phone:413-238-1836
Practice Address - Fax:877-583-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health