Provider Demographics
NPI:1134963432
Name:DODSON, COLBY N (MED, LPC-A)
Entity type:Individual
Prefix:MR
First Name:COLBY
Middle Name:N
Last Name:DODSON
Suffix:
Gender:M
Credentials:MED, LPC-A
Other - Prefix:MR
Other - First Name:COLE
Other - Middle Name:
Other - Last Name:DODSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4631 BRIAR OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-7503
Mailing Address - Country:US
Mailing Address - Phone:214-557-8307
Mailing Address - Fax:
Practice Address - Street 1:3500 LEMMON AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219
Practice Address - Country:US
Practice Address - Phone:214-385-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional