Debby Canning

Individual provider Active NPI Counselor · Crystal River, FL

NPI 1487310652 · NPPES record last updated Nov 12, 2021

Key facts

NPI
1487310652
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1554 N Meadowcrest Blvd
Crystal River, FL 34429-5756
Phone
(352) 228-4470
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestream Behavioral Center Inc Past
since Nov 16, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1554 N Meadowcrest Blvd
Crystal River, FL 34429-5756

Mailing address

9115 N Lennox Ter
Citrus Springs, FL 34434-4068
Phone (352) 422-7962

Other providers in Crystal River, FL

All providers in Crystal River, FL · Counselor in Florida

Sources for this page

Verify at the official NPI Registry.