Provider Demographics
NPI:1134193584
Name:KING, DEBORAH P (LPC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:P
Last Name:KING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:P
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1894 MOUNT PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-3749
Mailing Address - Country:US
Mailing Address - Phone:870-845-1177
Mailing Address - Fax:870-845-0002
Practice Address - Street 1:1894 MOUNT PLEASANT DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-3749
Practice Address - Country:US
Practice Address - Phone:870-845-1177
Practice Address - Fax:870-845-0002
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0004011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health