Provider Demographics
NPI:1821393364
Name:FISHER, REBEKAH (LPC, CPCS)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:LPC, CPCS
Other - Prefix:
Other - First Name:BEKAH
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC, CPCS
Mailing Address - Street 1:3241 HIDDEN COVE CIR
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-5402
Mailing Address - Country:US
Mailing Address - Phone:713-899-1405
Mailing Address - Fax:
Practice Address - Street 1:3241 HIDDEN COVE CIR
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-5402
Practice Address - Country:US
Practice Address - Phone:713-899-1405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007571101YP2500X
TX65353101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional