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NPI Code Detail

MEDICARE: DOXIE DOXIE LLC

MEDICARE: DOXIE DOXIE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1831928407
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOXIE DOXIE LLC
Provider Business Mailing Address
First Line : 304 BRIERCLIFF DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-9532
Country : US
Telephone Number : 803-420-3743
Fax Number :
Provider Business Practice Location Address
First Line : 9600 TWO NOTCH RD
Second Line : STE 5 #1144
City : COLUMBIA
State : SC
Zip : 29223-1612
Country : US
Telephone Number : 803-470-6268
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICAL PROVIDER
Name : JASMINE DOXIE
Credential : EDS LPC LMHC
Telephone Number : 803-470-6268
Provider Enumeration Date : 07/31/2024
Last Update Date : 07/31/2024

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Directions to “DOXIE DOXIE LLC ” Practice Location

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