Provider Demographics
NPI:1366653339
Name:ACTON, DEANN (LMFT)
Entity Type:Individual
Prefix:
First Name:DEANN
Middle Name:
Last Name:ACTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 CUMBRIA LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-5235
Mailing Address - Country:US
Mailing Address - Phone:512-221-3685
Mailing Address - Fax:855-615-2918
Practice Address - Street 1:6001 W PARMER LN STE 1137
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-3901
Practice Address - Country:US
Practice Address - Phone:512-221-3685
Practice Address - Fax:855-615-2918
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41640106H00000X
04-034221700000X
TX202352106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist