Provider Demographics
NPI:1639447840
Name:REED, DEBORAH CLARKE (MS LPC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CLARKE
Last Name:REED
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76240-2916
Mailing Address - Country:US
Mailing Address - Phone:940-222-0758
Mailing Address - Fax:817-391-1433
Practice Address - Street 1:1218 FAIR AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240-2916
Practice Address - Country:US
Practice Address - Phone:918-718-4528
Practice Address - Fax:817-391-1433
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2024-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200432380AMedicaid