Provider Demographics
NPI:1760488423
Name:MCCOY, DOROTHY VIRGINIA (LPC)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:VIRGINIA
Last Name:MCCOY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-2521
Mailing Address - Country:US
Mailing Address - Phone:919-245-1034
Mailing Address - Fax:
Practice Address - Street 1:241 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-2521
Practice Address - Country:US
Practice Address - Phone:919-245-1034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1915101YM0800X
NC9295101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional