Provider Demographics
NPI:1639651938
Name:REBECCA MCQUAIG COUNSELING, PLCC
Entity Type:Organization
Organization Name:REBECCA MCQUAIG COUNSELING, PLCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCQUAIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-654-0088
Mailing Address - Street 1:264 PASEO REYES DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32095-8462
Mailing Address - Country:US
Mailing Address - Phone:904-654-8338
Mailing Address - Fax:904-647-1128
Practice Address - Street 1:264 PASEO REYES DR
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32095-8462
Practice Address - Country:US
Practice Address - Phone:904-654-8338
Practice Address - Fax:904-647-1128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty