Provider Demographics
NPI:1396034682
Name:MOCBEICHEL, DEBRA ROSE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:ROSE
Last Name:MOCBEICHEL
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 1:1980 BALDWIN ROAD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HGTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598
Mailing Address - Country:US
Mailing Address - Phone:917-952-3600
Mailing Address - Fax:
Practice Address - Street 1:7 WEST 30TH STREET
Practice Address - Street 2:11TH FLOOR, #1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:917-952-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004655-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health