Provider Demographics
NPI:1699083923
Name:MAQUEIRA, DEBORAH K (LMHC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:K
Last Name:MAQUEIRA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2944 PENN AVE STE L
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448-2741
Mailing Address - Country:US
Mailing Address - Phone:850-800-7171
Mailing Address - Fax:850-638-9323
Practice Address - Street 1:1376 BRICKYARD RD STE 5
Practice Address - Street 2:
Practice Address - City:CHIPLEY
Practice Address - State:FL
Practice Address - Zip Code:32428-6392
Practice Address - Country:US
Practice Address - Phone:850-800-7171
Practice Address - Fax:850-638-9323
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLMH17791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health