MEDICARE: JAMIE DOTY LPCC

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
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	172707	KY

General Provider Information

NPI Number	:	1780106138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE DOTY LPCC

Provider Business Mailing Address
First Line	:	1162 LEXINGTON ROAD
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9392
Country	:	US
Telephone Number	:	502-863-6426
Fax Number	:

Provider Business Practice Location Address
First Line	:	1162 LEXINGTON RD
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324
Country	:	US
Telephone Number	:	502-863-6426
Fax Number	:	502-868-9724

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2017
Last Update Date	:	06/08/2026

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