Healthcare Provider Details

I. General information

NPI: 1598307159
Provider Name (Legal Business Name): DEONNA PINSON LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 PHILLIP COVE HOLLOW
TOMAHAWK KY
41262
US

IV. Provider business mailing address

PO BOX 69
TOMAHAWK KY
41262-0069
US

V. Phone/Fax

Practice location:
  • Phone: 859-629-8767
  • Fax:
Mailing address:
  • Phone: 859-629-8767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number251320
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: