Provider Demographics
NPI:1023034683
Name:FELSENTHAL, DEBBIE L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:L
Last Name:FELSENTHAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6330 LBJ FREEWAY
Mailing Address - Street 2:SUITE 234
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6433
Mailing Address - Country:US
Mailing Address - Phone:972-231-1102
Mailing Address - Fax:972-231-1279
Practice Address - Street 1:6330 LBJ FREEWAY
Practice Address - Street 2:SUITE 234
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6433
Practice Address - Country:US
Practice Address - Phone:972-231-1102
Practice Address - Fax:972-231-1279
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX151751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1005878Medicaid
TXOOSO2QMedicare ID - Type Unspecified