Provider Demographics
NPI:1154832657
Name:MOSLEY-HEATH, DEBORAH L (LCPC, LPC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:L
Last Name:MOSLEY-HEATH
Suffix:
Gender:
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7307 GAMBIER DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4492
Mailing Address - Country:US
Mailing Address - Phone:240-460-0078
Mailing Address - Fax:301-218-0247
Practice Address - Street 1:7307 GAMBIER DR STE 1
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4492
Practice Address - Country:US
Practice Address - Phone:240-460-0078
Practice Address - Fax:301-218-0247
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC728101YP2500X
VA0701009547101YP2500X
MDLC7554101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional