Rose, Rebekah Lee Ann

Rose, Rebekah Lee Ann is an individual health care provider with primary practice located at 3715 N Business Dr Ste 104 , Fayetteville AR 72703-5287. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rose, Rebekah Lee Ann can be contacted via phone (479) 521-1532.

Contact Information

Primary practice address
3715 N Business Dr Ste 104 Fayetteville AR 72703-5287
Phone: (479) 521-1532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1408059 Arkansas

Profile Details

NPI number 1932374964
LBN Legal business name Rose, Rebekah Lee Ann
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Nov 16th, 2022 - about 4 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 1932374964 NPPES
Arkansas MEDICAID 229127719

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