Provider Demographics
NPI:1942046792
Name:HUCKABY, DEBI (LAPC)
Entity type:Individual
Prefix:
First Name:DEBI
Middle Name:
Last Name:HUCKABY
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 TRALEE CT
Mailing Address - Street 2:
Mailing Address - City:STATHAM
Mailing Address - State:GA
Mailing Address - Zip Code:30666-2554
Mailing Address - Country:US
Mailing Address - Phone:770-921-8010
Mailing Address - Fax:
Practice Address - Street 1:1 HUNTINGTON RD STE 704
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7215
Practice Address - Country:US
Practice Address - Phone:706-719-5825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009379101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health