Provider Demographics
NPI:1740860535
Name:LANEY, DEBRA JEAN
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:LANEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEB
Other - Middle Name:
Other - Last Name:LANEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:159 RAYMOND OAKS CT
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7312
Mailing Address - Country:US
Mailing Address - Phone:585-935-1429
Mailing Address - Fax:
Practice Address - Street 1:159 RAYMOND OAKS CT
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7312
Practice Address - Country:US
Practice Address - Phone:585-935-1429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001356-01106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist