Provider Demographics
NPI:1073976064
Name:HICKEY, DEANA CHERIE (LPC)
Entity Type:Individual
Prefix:
First Name:DEANA
Middle Name:CHERIE
Last Name:HICKEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 1ST ST N STE 200
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8771
Mailing Address - Country:US
Mailing Address - Phone:205-624-2422
Mailing Address - Fax:844-763-3291
Practice Address - Street 1:1130 1ST ST N STE 200
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8771
Practice Address - Country:US
Practice Address - Phone:205-624-2422
Practice Address - Fax:844-763-3291
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health