Provider Demographics
NPI:1912426198
Name:SINDLE, DEBORAH NICOLE (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:NICOLE
Last Name:SINDLE
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:NICKI
Other - Middle Name:
Other - Last Name:SINDLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:162 LIZZIE RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-6945
Mailing Address - Country:US
Mailing Address - Phone:615-498-5453
Mailing Address - Fax:
Practice Address - Street 1:2021 RICHARD JONES RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2860
Practice Address - Country:US
Practice Address - Phone:515-498-5453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3607101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty