Basic Information
| Provider Information | |||||||||
| NPI: | 1508224130 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOKAS | ||||||||
| FirstName: | ALEXANDRA | ||||||||
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| Credential: | LPCC-S, LCDC III | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3333 BURNET DRIVE ML 3014 | ||||||||
| Address2: | |||||||||
| City: | CICINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452293026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136364225 | ||||||||
| FaxNumber: | 5136362511 | ||||||||
| Practice Location | |||||||||
| Address1: | 5050 TYLERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | WEST CHESTER | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450691012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138748390 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2016 | ||||||||
| LastUpdateDate: | 07/09/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | E.1200192 | OH | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | E.1200192-SUPV | OH | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.