Provider Demographics
NPI:1083047773
Name:EMGARTEN, REBEKAH GRACE (BA, CTA)
Entity Type:Individual
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First Name:REBEKAH
Middle Name:GRACE
Last Name:EMGARTEN
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Gender:F
Credentials:BA, CTA
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Mailing Address - Street 1:3125 DOUGLAS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-5365
Mailing Address - Country:US
Mailing Address - Phone:515-523-1049
Mailing Address - Fax:515-523-1046
Practice Address - Street 1:111 NW 2ND ST
Practice Address - Street 2:SUITE 2
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250-7704
Practice Address - Country:US
Practice Address - Phone:515-523-1049
Practice Address - Fax:515-523-1046
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-09-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)