Provider Demographics
NPI:1548032816
Name:BRITTNEY R DOLL LLC
Entity type:Organization
Organization Name:BRITTNEY R DOLL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLL
Authorized Official - Suffix:
Authorized Official - Credentials:IMFT
Authorized Official - Phone:740-206-8610
Mailing Address - Street 1:14 N COURT ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2429
Mailing Address - Country:US
Mailing Address - Phone:740-206-8610
Mailing Address - Fax:316-633-4174
Practice Address - Street 1:14 N COURT ST STE 3
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2429
Practice Address - Country:US
Practice Address - Phone:316-530-1174
Practice Address - Fax:316-633-4174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty