Provider Demographics
NPI:1508198870
Name:GRAYSON, DEBORAH EVE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:EVE
Last Name:GRAYSON
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 1:6800 W COMMERCIAL BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-2149
Mailing Address - Country:US
Mailing Address - Phone:954-937-6445
Mailing Address - Fax:954-741-5765
Practice Address - Street 1:6800 W COMMERCIAL BLVD STE 4
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319-2149
Practice Address - Country:US
Practice Address - Phone:954-937-6445
Practice Address - Fax:954-741-5765
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0001739101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health