Provider Demographics
NPI:1225064652
Name:WIGHT-KNIGHT, DEBORAH D (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:D
Last Name:WIGHT-KNIGHT
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 1:205 N DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3347
Mailing Address - Country:US
Mailing Address - Phone:478-929-1032
Mailing Address - Fax:478-923-9299
Practice Address - Street 1:215 MCARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3213
Practice Address - Country:US
Practice Address - Phone:478-929-1032
Practice Address - Fax:478-923-9299
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT000798101YP1600X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist