Provider Demographics
NPI:1649604836
Name:DARBY, DEBORAH W (LPC, NCC, PHD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:W
Last Name:DARBY
Suffix:
Gender:F
Credentials:LPC, NCC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4115 DALE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-5223
Mailing Address - Country:US
Mailing Address - Phone:504-241-0741
Mailing Address - Fax:
Practice Address - Street 1:3938 SAINT BERNARD AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-1148
Practice Address - Country:US
Practice Address - Phone:504-288-8014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4675101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health