MRS. DEBORAH LOGAN (NPI# 1114468212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114468212 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH LOGAN |
| Credential | LMFTA |
| Practice Address |
113 Bushnell Pl Mooresville NC 28115-8327 |
| Practice Telephone | 7049905580 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 12018A | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022069 | Deborah Anne Logan | Dental Hygienist | North Division Street Bldg 2103, Tacoma, WA 98431-0001 | 2018-11-13 |
| 1861873994 | Deborah Lorraine Logan | Student in an Organized Health Care Education/Training Program | 470 E 3rd St, Suite C, Los Angeles, CA 90013-1629 | 2015-06-15 |
| 1215113782 | Deborah Noel Logan | Registered Nurse | 204 E Beach St, Watsonville, CA 95076-4809 | 2008-01-15 |
| 1508916180 | Deborah P Logan | Registered Nurse | 1001 Potrero Ave, Ward 93, San Francisco, CA 94110-3518 | 2007-01-12 |
| 1942266861 | Deborah Logan | Advanced Practice Midwife | 113 Airport Rd, Suite 200, Sulphur Springs, TX 75482-2193 | 2006-04-21 |
| Street Address |
113 BUSHNELL PL |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841734639 | Ann Elizabeth Bennett | Marriage & Family Therapist | 116 S Main St Ste 103, Mooresville, NC 28115-2372 | 2016-12-13 |
| 1164729471 | Perri May | Marriage & Family Therapist | 862 Brawley School Rd Ste 202, Mooresville, NC 28117-8154 | 2011-02-23 |
| 1043516008 | The Center At Lake Norman | Marriage & Family Therapist | 132 Joe Knox Ave Ste 100, Mooresville, NC 28117-9203 | 2011-02-08 |
| 1649587221 | Kimberly M Hall | Marriage & Family Therapist | 804 Fieldstone Rd, Mooresville, NC 28115-2732 | 2010-09-03 |
| 1932266137 | Laura Sullivan | Marriage & Family Therapist | 18 S Indiana St, Mooresville, IN 46158-1648 | 2007-01-03 |
| 1417562422 | Chloe Solek | Marriage & Family Therapist | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2020-09-15 |
| 1962048843 | Hunter Nikkole Adams | Marriage & Family Therapist | 542 Williamson Rd Ste 4, Mooresville, NC 28117-9138 | 2019-11-26 |
| 1871003269 | Thrive Counseling and Wellness, Pllc | Marriage & Family Therapist | 311 Williamson Rd Ste 103, Mooresville, NC 28117-5967 | 2017-10-11 |
| 1790227635 | Madison Marie Haskell | Marriage & Family Therapist | 125 Overhill Dr Ste 105, Mooresville, NC 28117-8232 | 2016-11-09 |
| 1265867105 | Brittney Clark | Marriage & Family Therapist | 542 Williamson Rd, Suite 6, Mooresville, NC 28117-8193 | 2013-09-11 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.