Troutt, Dolori Jean

Troutt, Dolori Jean is an sole proprietor health care provider with primary practice located at 431 E State Highway 114 Fl 1 , Southlake TX 76092-4412. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Troutt, Dolori Jean can be contacted via phone (502) 446-9197.

Contact Information

Primary practice address
431 E State Highway 114 Fl 1 Southlake TX 76092-4412
Phone: (502) 446-9197
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 174049 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 277015 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 174049 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 92206 Texas

Profile Details

NPI number 1346607405
LBN Legal business name Troutt, Dolori Jean
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2016
Last updated Aug 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346607405 NPPES
Kentucky MEDICAID 7100490380

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