Provider Demographics
NPI:1225165673
Name:YATES, DEBORAH L (LMFT LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:L
Last Name:YATES
Suffix:
Gender:F
Credentials:LMFT LPC
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:L
Other - Last Name:RIVIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5435 WOODRUFF FARM RD PMB#120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907
Mailing Address - Country:US
Mailing Address - Phone:706-653-9511
Mailing Address - Fax:706-569-6994
Practice Address - Street 1:100B 7TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901
Practice Address - Country:US
Practice Address - Phone:706-653-9511
Practice Address - Fax:706-569-6994
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC001390101YP2500X
GAMFT000709106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist