Healthcare Provider Details

I. General information

NPI: 1326706011
Provider Name (Legal Business Name): RYLEE JOLENE DOHERTY LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5123 NORWICH ST STE 110&230
HILLIARD OH
43026-1486
US

IV. Provider business mailing address

5123 NORWICH ST STE 110&230
HILLIARD OH
43026-1486
US

V. Phone/Fax

Practice location:
  • Phone: 614-849-8204
  • Fax:
Mailing address:
  • Phone: 614-849-8204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2607134
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: