Provider Demographics
NPI:1043924640
Name:REBECCA S KATZ COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:REBECCA S KATZ COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KATZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:859-542-4399
Mailing Address - Street 1:5850 KIM RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-1510
Mailing Address - Country:US
Mailing Address - Phone:859-542-4399
Mailing Address - Fax:859-592-4698
Practice Address - Street 1:5850 KIM RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-1510
Practice Address - Country:US
Practice Address - Phone:859-542-4399
Practice Address - Fax:859-592-4698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty