Provider Demographics
NPI:1487026035
Name:SMITH, DEBORAH A (LPCC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 BEECHER XING N STE C
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-4572
Mailing Address - Country:US
Mailing Address - Phone:614-423-9310
Mailing Address - Fax:937-606-3077
Practice Address - Street 1:1075 BEECHER XING N STE C
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-4572
Practice Address - Country:US
Practice Address - Phone:614-423-9310
Practice Address - Fax:937-606-3077
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1901104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional