Provider Demographics
NPI:1457592875
Name:WEST, DOROTHY HOLLINGSWORTH (MA, CAP, LPCC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:HOLLINGSWORTH
Last Name:WEST
Suffix:
Gender:F
Credentials:MA, CAP, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9706 RAINBOW LN
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-4166
Mailing Address - Country:US
Mailing Address - Phone:813-388-0425
Mailing Address - Fax:813-994-0518
Practice Address - Street 1:649 CHAMBERLIN AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-4288
Practice Address - Country:US
Practice Address - Phone:813-388-0425
Practice Address - Fax:813-994-0518
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-14
Last Update Date:2024-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY241206101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor