Lietzke, Courtney Rebekah

Lietzke, Courtney Rebekah is an individual health care provider with primary practice located at 827 W Harvard St , Siloam Springs AR 72761-4013. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lietzke, Courtney Rebekah can be contacted via phone (479) 549-3121.

Contact Information

Primary practice address
827 W Harvard St Siloam Springs AR 72761-4013
Phone: (479) 549-3121
Fax: (479) 750-4843
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A1911163 Arkansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P2306020 Arkansas

Profile Details

NPI number 1861907644
LBN Legal business name Lietzke, Courtney Rebekah
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2017
Last updated Jun 27th, 2023 - about last year

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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