Provider Demographics
NPI:1518949668
Name:HORST, DEBORAH KAY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KAY
Last Name:HORST
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:KAY
Other - Last Name:HORST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:1601 HARMON AVE
Mailing Address - Street 2:STE 1 DO3
Mailing Address - City:FT STEWART
Mailing Address - State:GA
Mailing Address - Zip Code:31314-5844
Mailing Address - Country:US
Mailing Address - Phone:912-767-2620
Mailing Address - Fax:
Practice Address - Street 1:1601 HARMON AVE
Practice Address - Street 2:STE 1 DO3
Practice Address - City:FT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314-5844
Practice Address - Country:US
Practice Address - Phone:912-767-2620
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS33630104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker