Healthcare Provider Details

I. General information

NPI: 1942410378
Provider Name (Legal Business Name): DEBORAH ANN GALLIGAN M.A., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBORAH ANN MCKINLEY MA, LPC

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 HIDDEN VALLEY DR
TAFTON PA
18464-9617
US

IV. Provider business mailing address

118 HIDDEN VALLEY DR
TAFTON PA
18464-9617
US

V. Phone/Fax

Practice location:
  • Phone: 908-619-7464
  • Fax: 908-619-7464
Mailing address:
  • Phone: 908-619-7464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC016252
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00053000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: