Provider Demographics
NPI:1386147791
Name:LINS, DEBRA ANN (MSED)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:ANN
Last Name:LINS
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:WEHINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED
Mailing Address - Street 1:P.O. BOX 91
Mailing Address - Street 2:
Mailing Address - City:LAKE MILLS
Mailing Address - State:WI
Mailing Address - Zip Code:53551-0091
Mailing Address - Country:US
Mailing Address - Phone:608-630-5696
Mailing Address - Fax:
Practice Address - Street 1:322 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:LAKE MILLS
Practice Address - State:WI
Practice Address - Zip Code:53551
Practice Address - Country:US
Practice Address - Phone:608-630-5696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7996-125101YP2500X, 106H00000X, 101YM0800X
WI105188101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist