Provider Demographics
NPI:1184808115
Name:OSBORNE, DEBORAH
Entity type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 HILLSBORO PIKE
Mailing Address - Street 2:APT 353
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-5605
Mailing Address - Country:US
Mailing Address - Phone:615-460-9938
Mailing Address - Fax:
Practice Address - Street 1:2600 HILLSBORO PIKE
Practice Address - Street 2:APT 353
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-5605
Practice Address - Country:US
Practice Address - Phone:615-460-9938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator