Provider Demographics
NPI:1306376710
Name:DOYLE, DEBBIE DURELLE (LCSW-S)
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:DURELLE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2077 CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-7428
Mailing Address - Country:US
Mailing Address - Phone:214-636-7850
Mailing Address - Fax:
Practice Address - Street 1:2077 CAMELOT DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-7428
Practice Address - Country:US
Practice Address - Phone:214-636-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX313011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty