Provider Demographics
NPI:1720466857
Name:MUNFORD, DEBRA ANN (MS, LPC, LAC, LAC-S)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:MUNFORD
Suffix:
Gender:F
Credentials:MS, LPC, LAC, LAC-S
Other - Prefix:
Other - First Name:PUTTING YOU FIRST
Other - Middle Name:
Other - Last Name:COUNSELING SERVICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:150 N DARGAN ST STE 107
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2590
Mailing Address - Country:US
Mailing Address - Phone:843-618-4658
Mailing Address - Fax:843-954-6066
Practice Address - Street 1:150 N DARGAN ST STE 107
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2590
Practice Address - Country:US
Practice Address - Phone:843-618-4658
Practice Address - Fax:843-954-6066
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-08
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
253101YA0400X
SC7221101YP2500X
SC8457101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC2641Medicaid
SC1720466857Medicaid