Provider Demographics
NPI:1871265264
Name:HEDRICK, REBECCA EHRHARDT (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:EHRHARDT
Last Name:HEDRICK
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4416 5TH AVE S APT F
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-2820
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3918 MONTCLAIR RD STE 206
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2418
Practice Address - Country:US
Practice Address - Phone:205-994-2798
Practice Address - Fax:205-778-5304
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05108101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional