Provider Demographics
NPI:1114568102
Name:TOULSON, REBECCA (CEO, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:TOULSON
Suffix:
Gender:F
Credentials:CEO, LPC, NCC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:DOBERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:68 POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-6330
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 TRADE ST STE C
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-3428
Practice Address - Country:US
Practice Address - Phone:864-358-9116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010718101YM0800X, 101YP2500X
SCLPC7315101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health