Provider Demographics
NPI:1003540436
Name:DEBRA ABBEY NCC LPC LLC
Entity Type:Organization
Organization Name:DEBRA ABBEY NCC LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBEY
Authorized Official - Suffix:
Authorized Official - Credentials:NCC LPC ADHD-CCSP
Authorized Official - Phone:860-256-4448
Mailing Address - Street 1:55 GAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNCASVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06382-2013
Mailing Address - Country:US
Mailing Address - Phone:860-256-4448
Mailing Address - Fax:
Practice Address - Street 1:55 GAY HILL RD
Practice Address - Street 2:
Practice Address - City:UNCASVILLE
Practice Address - State:CT
Practice Address - Zip Code:06382-2013
Practice Address - Country:US
Practice Address - Phone:860-256-4448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty