=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588687016
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEBORAH LINDEEN MA, LPC, ATR-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/25/2006
-----------------------------------------------------
Last Update Date | 02/12/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9525 KATY FWY SUITE 312
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77024-1407
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-447-6674
-----------------------------------------------------
Fax | 281-759-5458
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12410 HONEYWOOD TRL
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77077-2424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-496-7667
-----------------------------------------------------
Fax | 281-759-5458
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 19169
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------