Provider Demographics
NPI:1740496801
Name:CARMICHAEL, DEBORAH (LPC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 AIRPORT BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-3160
Mailing Address - Country:US
Mailing Address - Phone:251-343-2597
Mailing Address - Fax:251-342-0122
Practice Address - Street 1:5905 AIRPORT BLVD STE D
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3160
Practice Address - Country:US
Practice Address - Phone:251-343-2597
Practice Address - Fax:251-342-0122
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC1171A101Y00000X
AL2516101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-62259OtherBCBS