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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275672776 NPPES
North Carolina MEDICAID 6102082

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