Provider Demographics
NPI:1104083104
Name:MCNEIL, DOROTHY R (LPCC-S)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:R
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:R
Other - Last Name:MCNEAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:329 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4332
Mailing Address - Country:US
Mailing Address - Phone:419-221-3072
Mailing Address - Fax:
Practice Address - Street 1:106 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344
Practice Address - Country:US
Practice Address - Phone:937-667-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPCC0500670101YP2500X
OHE.0500670-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional