Deanna C Hagy, LPC
Individual provider Active NPI Professional Counselor · Mt. Home, TX
NPI 1982710885 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1982710885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 17198 (TX)
- Practice address
- 110 3 H Circle
Mt. Home, TX 78058 - Phone
- (830) 866-3701
- Fax
- (830) 866-3705
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 17198 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17198 | TX | Yes |
Addresses
Primary practice location
110 3 H Circle
Mt. Home, TX 78058
Mailing address
PO Box 230
Mountain Home, TX 78058-0230
Phone (830) 866-3701
Other providers in Mt. Home, TX
All providers in Mt. Home, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.