Healthcare Provider Details

I. General information

NPI: 1972912756
Provider Name (Legal Business Name): ALEXANDER DOLIN LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 WHILEY RD SW
LANCASTER OH
43130-9556
US

IV. Provider business mailing address

822 FRANKLIN AVE
LANCASTER OH
43130-2725
US

V. Phone/Fax

Practice location:
  • Phone: 740-590-3598
  • Fax:
Mailing address:
  • Phone: 740-590-3598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLICDC.161759
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1800664
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: