Provider Demographics
NPI:1407286701
Name:COX, REBEKAH A (MA, LPC, DP-C)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:A
Last Name:COX
Suffix:
Gender:F
Credentials:MA, LPC, DP-C
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:ANNE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1807 W RUNDLE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-8733
Mailing Address - Country:US
Mailing Address - Phone:517-449-0303
Mailing Address - Fax:
Practice Address - Street 1:215 N WATER ST
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-2807
Practice Address - Country:US
Practice Address - Phone:810-230-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013671101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health