Provider Demographics
NPI:1598184269
Name:ALLSBROOK, DEBORAH (LPC-S)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:ALLSBROOK
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:ROTH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4716 YOUNG ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006
Mailing Address - Country:US
Mailing Address - Phone:504-920-5920
Mailing Address - Fax:
Practice Address - Street 1:1529 RIVER OAKS RD W
Practice Address - Street 2:SUITE 126
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123
Practice Address - Country:US
Practice Address - Phone:504-920-5920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4041101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA46-5311229OtherEIN