Provider Demographics
NPI:1134146897
Name:DOTAS, ELLEN R (LPC)
Entity type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:R
Last Name:DOTAS
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 1:644 UNIVERSITY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3773
Mailing Address - Country:US
Mailing Address - Phone:540-564-7007
Mailing Address - Fax:
Practice Address - Street 1:644 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3750
Practice Address - Country:US
Practice Address - Phone:540-564-5100
Practice Address - Fax:757-579-8573
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA11525913OtherCAQH PROVIDER NUMBER
VA279977OtherANTHEM PROVIDER NUMBER
VA1134146897Medicaid
VA592882OtherVALUE OPTIONS PROVIDER NUMBER
VAC05754OtherMEDICARE GROUP NUMBER
VA187228OtherCOMPSYCH PROVIDER NUMBER
VA088409OtherSENTARA
VA2356158OtherCIGNA PROVIDER NUMBER
VA1417027608OtherRMH GROUP NPI NUMBER