Provider Demographics
NPI:1881000446
Name:ATKINS, REBECCA (LMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ATKINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 LILLIE AVE
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-5346
Mailing Address - Country:US
Mailing Address - Phone:253-720-8480
Mailing Address - Fax:253-409-2561
Practice Address - Street 1:2845 LILLIE AVE
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86401-5346
Practice Address - Country:US
Practice Address - Phone:253-254-9147
Practice Address - Fax:253-409-2561
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC20922101YM0800X
WALH60818070101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health