Provider Demographics
NPI:1407427289
Name:REBECCA MORSE, LLC
Entity Type:Organization
Organization Name:REBECCA MORSE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:COUNSELOR
Authorized Official - Phone:270-871-4040
Mailing Address - Street 1:1850 LANTAFF BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-9473
Mailing Address - Country:US
Mailing Address - Phone:270-871-4040
Mailing Address - Fax:270-208-4141
Practice Address - Street 1:1850 LANTAFF BLVD STE 203
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-9473
Practice Address - Country:US
Practice Address - Phone:270-871-4040
Practice Address - Fax:270-208-4141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty