Provider Demographics
NPI:1588356208
Name:DOERR, LELANIA LANIE (LPC)
Entity type:Individual
Prefix:
First Name:LELANIA
Middle Name:LANIE
Last Name:DOERR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 121
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:KS
Mailing Address - Zip Code:67732-0121
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:405 KETCHAM AVE
Practice Address - Street 2:
Practice Address - City:BIRD CITY
Practice Address - State:KS
Practice Address - Zip Code:67731-3248
Practice Address - Country:US
Practice Address - Phone:785-443-3424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04277101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional