Healthcare Provider Details

I. General information

NPI: 1659702967
Provider Name (Legal Business Name): ELIZABETH MCCLURE DOCHNEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH MCCLURE - MCLEAN MCCLOSKEY LPC

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 W BOLTON ST.
SAVANNAH GA
31401-6371
US

IV. Provider business mailing address

109 W BOLTON ST.
SAVANNAH GA
31401-6371
US

V. Phone/Fax

Practice location:
  • Phone: 912-224-8609
  • Fax:
Mailing address:
  • Phone: 912-224-8609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC007583
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: