Provider Demographics
NPI:1427538842
Name:DEBORAH DRIGGS & ASSOCIATES
Entity Type:Organization
Organization Name:DEBORAH DRIGGS & ASSOCIATES
Other - Org Name:DEBORAH DRIGGS, PH.D., LPC/MHSP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC/MHSP, ACS
Authorized Official - Phone:931-581-0524
Mailing Address - Street 1:805 S CHURCH ST STE 20
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5297
Mailing Address - Country:US
Mailing Address - Phone:931-581-0524
Mailing Address - Fax:615-809-2090
Practice Address - Street 1:805 S CHURCH ST STE 20
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5297
Practice Address - Country:US
Practice Address - Phone:931-581-0524
Practice Address - Fax:615-809-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2710101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1530799Medicaid