Provider Demographics
NPI:1366603029
Name:FORD, DEBORAH EILEEN (LPC,LMFT)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:EILEEN
Last Name:FORD
Suffix:
Gender:F
Credentials:LPC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2213 WYRICK CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4128
Mailing Address - Country:US
Mailing Address - Phone:425-931-7970
Mailing Address - Fax:817-654-9299
Practice Address - Street 1:6815 MANHATTAN BLVD STE 104
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120-1212
Practice Address - Country:US
Practice Address - Phone:682-867-0309
Practice Address - Fax:817-654-9229
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9973101YM0800X
TX923106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health