Provider Demographics
NPI:1558922179
Name:LIVINGS, DEBRA (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:
Last Name:LIVINGS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:DEBRA
Other - Middle Name:
Other - Last Name:LIVINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:410 FAIR OAK DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5623
Mailing Address - Country:US
Mailing Address - Phone:713-208-0361
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-208-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 1041C0700X
TX1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker