Provider Demographics
NPI:1043784309
Name:COOK, REBEKAH DEMONBREUN (BS, MSSW, LMSW)
Entity Type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:DEMONBREUN
Last Name:COOK
Suffix:
Gender:F
Credentials:BS, MSSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 S CHURCH ST STE 15
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4917
Mailing Address - Country:US
Mailing Address - Phone:615-619-1994
Mailing Address - Fax:
Practice Address - Street 1:805 S CHURCH ST STE 15
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4917
Practice Address - Country:US
Practice Address - Phone:615-619-1994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN83611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical