Provider Demographics
NPI:1174108252
Name:DUFFY, BILLIE (LPC-S)
Entity type:Individual
Prefix:
First Name:BILLIE
Middle Name:
Last Name:DUFFY
Suffix:
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8011 DURHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2613
Mailing Address - Country:US
Mailing Address - Phone:806-441-8306
Mailing Address - Fax:
Practice Address - Street 1:5717 66TH ST STE 125
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1214
Practice Address - Country:US
Practice Address - Phone:806-441-8306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-10
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional