Provider Demographics
NPI:1053445932
Name:DURBIN, EILEEN D (LMFT)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:D
Last Name:DURBIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 SUMMERHILL DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-1350
Mailing Address - Country:US
Mailing Address - Phone:859-273-1318
Mailing Address - Fax:859-272-6988
Practice Address - Street 1:1730 SUMMERHILL DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1350
Practice Address - Country:US
Practice Address - Phone:859-273-1318
Practice Address - Fax:859-272-6988
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0482101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health