Provider Demographics
NPI:1528371499
Name:DEBBELER, LISA MAECHLING (LPC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:MAECHLING
Last Name:DEBBELER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5725 DRAGON WAY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-4593
Mailing Address - Country:US
Mailing Address - Phone:513-282-9371
Mailing Address - Fax:844-388-6214
Practice Address - Street 1:5725 DRAGON WAY
Practice Address - Street 2:SUITE 308
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-4593
Practice Address - Country:US
Practice Address - Phone:513-283-9371
Practice Address - Fax:844-388-6214
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0700415101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor