Healthcare Provider Details

I. General information

NPI: 1578722922
Provider Name (Legal Business Name): DEBORAH DYKES-HOWE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 07/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 NW 41ST ST SUITE J
GAINESVILLE FL
32606-6667
US

IV. Provider business mailing address

2830 NW 41ST ST SUITE J
GAINESVILLE FL
32606-6667
US

V. Phone/Fax

Practice location:
  • Phone: 352-514-3897
  • Fax: 352-692-0004
Mailing address:
  • Phone: 352-514-3897
  • Fax: 352-692-0004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH10249
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: