Austin, Rebecca
Austin, Rebecca is an sole proprietor health care provider with primary practice located at 603 Dolley Madison Rd Ste 100 , Greensboro NC 27410-4282. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Austin, Rebecca can be contacted via phone (336) 338-5150.Contact Information
Primary practice address
603 Dolley Madison Rd Ste 100
Greensboro NC 27410-4282
Phone: (336) 338-5150
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS 1436 | North Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3112 | North Carolina |
Profile Details
NPI number | 1275672776 |
---|---|
LBN Legal business name | Austin, Rebecca |
Credentials | LPC,LCAS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2007 |
Last updated | Jan 4th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275672776 | NPPES |
North Carolina | MEDICAID | 6102082 |
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