Provider Demographics
NPI:1194495549
Name:DOKE, DENNIS LEE (LMFT-S, LPC-S)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:LEE
Last Name:DOKE
Suffix:
Gender:M
Credentials:LMFT-S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9128 AUTUMN FALLS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76118-7765
Mailing Address - Country:US
Mailing Address - Phone:214-677-6689
Mailing Address - Fax:
Practice Address - Street 1:9128 AUTUMN FALLS DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76118-7765
Practice Address - Country:US
Practice Address - Phone:214-677-6689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1834106H00000X
TX9709101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional