Provider Demographics
NPI:1134385057
Name:DOYLE, KEVIN SAUNDERS (LPC, LSATP)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:SAUNDERS
Last Name:DOYLE
Suffix:
Gender:M
Credentials:LPC, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 8TH ST NE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4755
Mailing Address - Country:US
Mailing Address - Phone:434-974-0997
Mailing Address - Fax:
Practice Address - Street 1:404 8TH ST NE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4755
Practice Address - Country:US
Practice Address - Phone:434-974-0997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000144101YA0400X
VA0701001316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)