Provider Demographics
NPI:1720400781
Name:DEBI'S FAMILY COUNSELING, INC.
Entity Type:Organization
Organization Name:DEBI'S FAMILY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:EBERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:574-453-1194
Mailing Address - Street 1:9150 E 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7687
Mailing Address - Country:US
Mailing Address - Phone:574-453-1194
Mailing Address - Fax:574-267-7912
Practice Address - Street 1:9150 E 109TH AVE
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-7687
Practice Address - Country:US
Practice Address - Phone:574-453-1194
Practice Address - Fax:574-267-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty