Provider Demographics
NPI:1831928407
Name:DOXIE DOXIE LLC
Entity type:Organization
Organization Name:DOXIE DOXIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOXIE
Authorized Official - Suffix:
Authorized Official - Credentials:EDS LPC LMHC
Authorized Official - Phone:803-470-6268
Mailing Address - Street 1:304 BRIERCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9532
Mailing Address - Country:US
Mailing Address - Phone:803-420-3743
Mailing Address - Fax:
Practice Address - Street 1:9600 TWO NOTCH RD
Practice Address - Street 2:STE 5 #1144
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-1612
Practice Address - Country:US
Practice Address - Phone:803-470-6268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty