Provider Demographics
NPI:1922557180
Name:VAUGHN, DEBORAH D (MA, LPC/MHSP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:D
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:MA, LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 FRANKLIN RD
Mailing Address - Street 2:BUILDING FOUR, SUITE 240
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5224
Mailing Address - Country:US
Mailing Address - Phone:615-812-4986
Mailing Address - Fax:
Practice Address - Street 1:278 FRANKLIN RD
Practice Address - Street 2:BUILDING FOUR, SUITE 250
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5224
Practice Address - Country:US
Practice Address - Phone:615-812-4986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1765101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional