Provider Demographics
NPI:1497094759
Name:TRENT, DEBORAH KAY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:KAY
Last Name:TRENT
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 1:801 W BAY DR STE 335
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3227
Mailing Address - Country:US
Mailing Address - Phone:727-278-2771
Mailing Address - Fax:727-585-1976
Practice Address - Street 1:801 W BAY DR STE 335
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3227
Practice Address - Country:US
Practice Address - Phone:727-278-2771
Practice Address - Fax:727-585-1976
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9088101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health