Provider Demographics
NPI:1538398623
Name:DELLA-RODOLFA, DEBORAH C (LPC)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:C
Last Name:DELLA-RODOLFA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:DELLA-RODOLFA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2607 KINGSTON PIKE STE 250
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-3331
Mailing Address - Country:US
Mailing Address - Phone:865-264-2400
Mailing Address - Fax:865-588-6406
Practice Address - Street 1:6231 HIGHLAND PLACE WAY STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4083
Practice Address - Country:US
Practice Address - Phone:865-264-2400
Practice Address - Fax:865-588-6406
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional