Provider Demographics
NPI:1639966872
Name:DORRIS, KALAH LYN (LMHCA)
Entity type:Individual
Prefix:
First Name:KALAH
Middle Name:LYN
Last Name:DORRIS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 INGLE ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1345
Mailing Address - Country:US
Mailing Address - Phone:812-602-4022
Mailing Address - Fax:
Practice Address - Street 1:629 INGLE ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1345
Practice Address - Country:US
Practice Address - Phone:812-602-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002289A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health