Provider Demographics
NPI:1588095392
Name:DOSS, KELLEY CATHERINE (LPC-S)
Entity type:Individual
Prefix:
First Name:KELLEY
Middle Name:CATHERINE
Last Name:DOSS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:KELLEY
Other - Middle Name:CATHERINE
Other - Last Name:MCLAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1755 N COLLINS BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080
Mailing Address - Country:US
Mailing Address - Phone:903-267-4014
Mailing Address - Fax:469-248-3635
Practice Address - Street 1:1755 N COLLINS BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080
Practice Address - Country:US
Practice Address - Phone:903-267-4014
Practice Address - Fax:469-248-3635
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68734101YM0800X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health