Healthcare Provider Details

I. General information

NPI: 1811626377
Provider Name (Legal Business Name): DEBRA ENLANE REED LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 JOSEPH EARL DR
DESOTO TX
75115-1294
US

IV. Provider business mailing address

1213 JOSEPH EARL DR
DESOTO TX
75115-1294
US

V. Phone/Fax

Practice location:
  • Phone: 469-430-8789
  • Fax:
Mailing address:
  • Phone: 972-999-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number87679
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: