Provider Demographics
NPI:1689031981
Name:MEYER, REBECA FELISA (LPC-INTERN)
Entity Type:Individual
Prefix:
First Name:REBECA
Middle Name:FELISA
Last Name:MEYER
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 CARTEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-5852
Mailing Address - Country:US
Mailing Address - Phone:214-395-0679
Mailing Address - Fax:
Practice Address - Street 1:5587 DAVIS BLVD
Practice Address - Street 2:SUITE 400, RM 401
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-1113
Practice Address - Country:US
Practice Address - Phone:817-272-7147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health