Provider Demographics
NPI:1205321411
Name:REBECCA A NYE, LPC
Entity type:Organization
Organization Name:REBECCA A NYE, LPC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NYE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:724-674-2068
Mailing Address - Street 1:904 HARMONY FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-3112
Mailing Address - Country:US
Mailing Address - Phone:724-674-2068
Mailing Address - Fax:
Practice Address - Street 1:111 S HIGH ST
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1367
Practice Address - Country:US
Practice Address - Phone:724-674-2068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-29
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty