Provider Demographics
NPI:1881744845
Name:PADEN-LEVY, DEBORAH (LPC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:PADEN-LEVY
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 1:3308 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7622
Mailing Address - Country:US
Mailing Address - Phone:214-739-5452
Mailing Address - Fax:
Practice Address - Street 1:5025 N CENTRAL EXPY
Practice Address - Street 2:SUITE 2060
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-3451
Practice Address - Country:US
Practice Address - Phone:214-288-8680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7257LCOtherBLUE CROSS BLUE SHIELD #