Provider Demographics
NPI:1568023679
Name:MCWHORTER, DEBORAH (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:MCWHORTER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16319 JOLIET RD
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-9356
Mailing Address - Country:US
Mailing Address - Phone:317-341-5238
Mailing Address - Fax:
Practice Address - Street 1:120 CAMILLA CT
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-9863
Practice Address - Country:US
Practice Address - Phone:317-341-5238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35002057A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist