Provider Demographics
NPI:1982710885
Name:HAGY, DEANNA C (LPC)
Entity Type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:C
Last Name:HAGY
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:PO BOX 230
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:TX
Mailing Address - Zip Code:78058-0230
Mailing Address - Country:US
Mailing Address - Phone:830-866-3701
Mailing Address - Fax:830-866-3705
Practice Address - Street 1:110 3 H CIRCLE
Practice Address - Street 2:
Practice Address - City:MT. HOME
Practice Address - State:TX
Practice Address - Zip Code:78058
Practice Address - Country:US
Practice Address - Phone:830-866-3701
Practice Address - Fax:830-866-3705
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17198101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional