Provider Demographics
NPI:1689714107
Name:MAXWELL, DEBRA G (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:G
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7471
Mailing Address - Country:US
Mailing Address - Phone:970-980-5123
Mailing Address - Fax:
Practice Address - Street 1:137 ROSEWOOD LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7471
Practice Address - Country:US
Practice Address - Phone:970-980-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 3931101YM0800X
101YP2500X
SC5795101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health