Provider Demographics
NPI:1093059875
Name:GAY, REBECCA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:GAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10426 HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-6801
Mailing Address - Country:US
Mailing Address - Phone:205-527-0971
Mailing Address - Fax:
Practice Address - Street 1:10426 HIGHWAY 25
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-6801
Practice Address - Country:US
Practice Address - Phone:205-527-0971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2989101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor