Provider Demographics
NPI:1689111064
Name:DB PERFORMANCE CONSULTING
Entity Type:Organization
Organization Name:DB PERFORMANCE CONSULTING
Other - Org Name:ANCHORED HOPE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRABOY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:479-561-7600
Mailing Address - Street 1:4611 ROGERS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3148
Mailing Address - Country:US
Mailing Address - Phone:479-561-7600
Mailing Address - Fax:479-434-4333
Practice Address - Street 1:4611 ROGERS AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3148
Practice Address - Country:US
Practice Address - Phone:479-561-7600
Practice Address - Fax:479-434-4333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DB PERFORMANCE CONSULTING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0806053101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty