Healthcare Provider Details

I. General information

NPI: 1982919155
Provider Name (Legal Business Name): DEBBIE A NOE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 N MCMULLEN BOOTH RD
CLEARWATER FL
33759-1356
US

IV. Provider business mailing address

4107 W SPRUCE ST SUITE 100
TAMPA FL
33607-2327
US

V. Phone/Fax

Practice location:
  • Phone: 727-542-8662
  • Fax:
Mailing address:
  • Phone: 813-636-8811
  • Fax: 813-636-8855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 10307
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: