Provider Demographics
NPI:1891465654
Name:SOPPE, REBECA STINNETT (LMHP)
Entity Type:Individual
Prefix:MRS
First Name:REBECA
Middle Name:STINNETT
Last Name:SOPPE
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:REBECA
Other - Middle Name:S
Other - Last Name:STINNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14130 FRANCES ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2126
Mailing Address - Country:US
Mailing Address - Phone:402-850-5870
Mailing Address - Fax:
Practice Address - Street 1:14130 FRANCES ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2126
Practice Address - Country:US
Practice Address - Phone:402-850-5870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor