Bourgeois, Rebecca Barr

Bourgeois, Rebecca Barr is an individual health care provider with primary practice located at 901 White St Ruston Mental Health Center, Ruston LA 71270. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bourgeois, Rebecca Barr can be contacted via phone (318) 251-4150.

Contact Information

Primary practice address
901 White St Ruston Mental Health Center Ruston LA 71270
Fax: (318) 251-4177
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2664 Louisiana

Profile Details

NPI number 1124084827
LBN Legal business name Bourgeois, Rebecca Barr
Credentials LIC CLIN SOCIAL WORK
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years 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 1124084827 NPPES
Louisiana MEDICAID 1710342

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