Provider Demographics
NPI:1225149529
Name:DENNIE, DEBORAH D (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:D
Last Name:DENNIE
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 1:145 LANGSTON ST
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7448
Mailing Address - Country:US
Mailing Address - Phone:501-545-6693
Mailing Address - Fax:
Practice Address - Street 1:1401 MALVERN AVE STE 140
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6378
Practice Address - Country:US
Practice Address - Phone:501-545-6693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0709054101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1087184OtherUSA MGED CARE
AR7540988OtherAETNA
AR408125OtherMHN
AR116399726Medicaid
AR1225149529OtherTRICARE - STANDARD
AR2505439OtherCIGNA
AR07110017100OtherQUAL CHOICE
AR1225149529OtherMHNET
AR1225149529OtherNOVA SYSTEMS
AR710401764OtherCORP HEALTH
AR1225149529OtherUNITY MGED MH (ST JOHN'S MERCY)
AR408125OtherMHN