Provider Demographics
NPI:1326131046
Name:REBECCA SYKES LPC,PLLC
Entity Type:Organization
Organization Name:REBECCA SYKES LPC,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:CROSS
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-798-8208
Mailing Address - Street 1:4900 RANDALL PARKWAY SUITE J
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-2831
Mailing Address - Country:US
Mailing Address - Phone:910-798-8208
Mailing Address - Fax:910-798-8209
Practice Address - Street 1:4900 RANDALL PARKWAY SUITE J
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2831
Practice Address - Country:US
Practice Address - Phone:910-798-8208
Practice Address - Fax:910-798-8209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty