Debra M. Bergman, LMFT
Individual provider Active NPI Marriage & Family Therapist · Leicester, NC
NPI 1265974166 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1265974166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1786 (NC)
- Practice address
- 78 Merrell Rd
Leicester, NC 28748-7567 - Phone
- (336) 708-5325
- NPI assigned
- Nov 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT000743 | GA | MD | Marriage & Family Therapist |
| 1786 | NC | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT000743 | GA | |
| Marriage & Family Therapist | 106H00000X | 1786 | NC | Yes |
Addresses
Primary practice location
78 Merrell Rd
Leicester, NC 28748-7567
Mailing address
338 Buteo RDG
Pittsboro, NC 27312-9327
Phone (336) 708-5325
Other providers in Leicester, NC
- Walter Ager
- Aval 1 LLC
- Axis Care
- Berard Auditory Integration Training Systems, Inc.
- Biltmore Housing Inc
- Biltmore Housing Inc
- Biltmore Housing Inc
- Biltmore Housing Inc
- Biltmore Housing Inc
All providers in Leicester, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.