Provider Demographics
NPI:1588079396
Name:MAXWELL, DEBORAH BRISCOE (LPC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:BRISCOE
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:ELIZABETH
Other - Last Name:MAXWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:20724 BAPTIST ENCAMPMENT RD
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-7704
Mailing Address - Country:US
Mailing Address - Phone:832-819-5571
Mailing Address - Fax:713-437-4705
Practice Address - Street 1:20724 BAPTIST ENCAMPMENT RD
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-7704
Practice Address - Country:US
Practice Address - Phone:832-819-5571
Practice Address - Fax:713-437-4705
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68128101YP2500X
TX99374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional