Provider Demographics
NPI:1013187459
Name:SHIRLEY, DEBRA (LMHC, CAP)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:SHIRLEY
Suffix:
Gender:F
Credentials:LMHC, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 WINDSWEPT CT
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3109
Mailing Address - Country:US
Mailing Address - Phone:407-592-9489
Mailing Address - Fax:407-578-0245
Practice Address - Street 1:2295 S HIAWASSEE RD
Practice Address - Street 2:SUITE 201-C
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8746
Practice Address - Country:US
Practice Address - Phone:407-592-9489
Practice Address - Fax:407-578-0245
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP2508101YA0400X
FLMH6713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)