Provider Demographics
NPI:1467077602
Name:DEBRA FLINT
Entity Type:Organization
Organization Name:DEBRA FLINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FLINT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-496-7129
Mailing Address - Street 1:2470 EASTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-6314
Mailing Address - Country:US
Mailing Address - Phone:412-496-7129
Mailing Address - Fax:
Practice Address - Street 1:2470 EASTBROOK RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-6314
Practice Address - Country:US
Practice Address - Phone:412-496-7129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-13
Last Update Date:2020-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty