Provider Demographics
NPI:1740547363
Name:DELLINGER, DEBORAH MULLINS (LPC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MULLINS
Last Name:DELLINGER
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 1:7511 SAINT ANDREWS RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-2894
Mailing Address - Country:US
Mailing Address - Phone:803-781-1003
Mailing Address - Fax:866-416-2475
Practice Address - Street 1:7511 SAINT ANDREWS RD
Practice Address - Street 2:SUITE 3
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-2894
Practice Address - Country:US
Practice Address - Phone:803-781-1003
Practice Address - Fax:866-416-2475
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional