Provider Demographics
NPI:1922617703
Name:UTSEY, DEBORA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORA
Middle Name:
Last Name:UTSEY
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 1:4825 BARBERRY TREE CV
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-9573
Mailing Address - Country:US
Mailing Address - Phone:817-233-1844
Mailing Address - Fax:
Practice Address - Street 1:4825 BARBERRY TREE CV
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-9573
Practice Address - Country:US
Practice Address - Phone:817-233-1844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80157101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health