Provider Demographics
NPI:1124817150
Name:DOVE, PATRICK ALLEN (LPC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:ALLEN
Last Name:DOVE
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:PATRICK
Other - Middle Name:ALLEN
Other - Last Name:MCKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STEPHENS CITY
Mailing Address - State:VA
Mailing Address - Zip Code:22655-2338
Mailing Address - Country:US
Mailing Address - Phone:540-539-3050
Mailing Address - Fax:
Practice Address - Street 1:8767 SEMINOLE TRL STE 101
Practice Address - Street 2:
Practice Address - City:RUCKERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22968-3494
Practice Address - Country:US
Practice Address - Phone:434-990-1744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014834101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor