Provider Demographics
NPI:1366636144
Name:O'NEAL, DEBORAH L (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:L
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PORT ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-6730
Mailing Address - Country:US
Mailing Address - Phone:386-864-1931
Mailing Address - Fax:
Practice Address - Street 1:381 PALM COAST PKWY SW UNIT 1
Practice Address - Street 2:WEST POINTE PROFESSIONAL CENTER
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4782
Practice Address - Country:US
Practice Address - Phone:386-864-1931
Practice Address - Fax:386-597-2903
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2012-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9388101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health