Provider Demographics
NPI:1285823518
Name:STEVENS, DEBORAH LEIGH (LMHC,LMFT,ADS)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:LEIGH
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LMHC,LMFT,ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 N 6TH ST
Mailing Address - Street 2:ST 200
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47804-4086
Mailing Address - Country:US
Mailing Address - Phone:812-238-7301
Mailing Address - Fax:812-238-7056
Practice Address - Street 1:1801 N 6TH ST
Practice Address - Street 2:ST 200
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-4086
Practice Address - Country:US
Practice Address - Phone:812-238-7301
Practice Address - Fax:812-238-7056
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INA2123R101YA0400X
IN39001095A101YM0800X
IN35000307A106H00000X
IN80000018A171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171100000XOther Service ProvidersAcupuncturist