Provider Demographics
NPI:1568824969
Name:REBECCA BIBEAU LMHC
Entity Type:Organization
Organization Name:REBECCA BIBEAU LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BIBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-884-0635
Mailing Address - Street 1:925 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1137
Mailing Address - Country:US
Mailing Address - Phone:978-884-0635
Mailing Address - Fax:
Practice Address - Street 1:925 N BROADWAY
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1137
Practice Address - Country:US
Practice Address - Phone:978-884-0635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA000009609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty