Provider Demographics
NPI:1629100839
Name:WHEAT, DEBORAH N (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:N
Last Name:WHEAT
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 1:8170 GADSDEN HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-5250
Mailing Address - Country:US
Mailing Address - Phone:205-655-0430
Mailing Address - Fax:205-661-9730
Practice Address - Street 1:8170 GADSDEN HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-5250
Practice Address - Country:US
Practice Address - Phone:205-655-0430
Practice Address - Fax:205-661-9730
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist