=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972667194
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DEBORAH M MAXEY PHD LPC LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/21/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 798 LEESVILLE ROAD PEACHTREE COUNSELING CENTER INC
-----------------------------------------------------
City | LYNCHBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 434-239-1928
-----------------------------------------------------
Fax | 434-239-8779
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 798 LEESVILLE ROAD PEACHTREE COUNSELING CENTER INC
-----------------------------------------------------
City | LYNCHBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 434-239-1928
-----------------------------------------------------
Fax | 434-239-8779
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number | 0701002521
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 0717000206
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------