Provider Demographics
NPI:1437566742
Name:FRONEBERGER, DEAUNA (LCMHC, LCPC, LCAS)
Entity Type:Individual
Prefix:
First Name:DEAUNA
Middle Name:
Last Name:FRONEBERGER
Suffix:
Gender:F
Credentials:LCMHC, LCPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 ENGLISH LAUREL CT
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3906
Mailing Address - Country:US
Mailing Address - Phone:888-928-1345
Mailing Address - Fax:
Practice Address - Street 1:15905 BROOKWAY DR STE 4202
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3241
Practice Address - Country:US
Practice Address - Phone:888-928-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-18
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00118460101Y00000X, 171M00000X
NCA11372101YM0800X, 101YP2500X
NCLCAS-20391101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator