Provider Demographics
NPI:1578059754
Name:REBEKAH SCOTT, LLC
Entity Type:Organization
Organization Name:REBEKAH SCOTT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CCTP-II
Authorized Official - Phone:208-573-1273
Mailing Address - Street 1:2214 E. ELM GROVE DR.
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-7006
Mailing Address - Country:US
Mailing Address - Phone:208-573-1273
Mailing Address - Fax:208-437-7488
Practice Address - Street 1:2214 E. ELM GROVE DR.
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83686-7006
Practice Address - Country:US
Practice Address - Phone:208-573-1273
Practice Address - Fax:208-437-7488
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REBEKAH SCOTT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-10
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty