Provider Demographics
NPI:1457161465
Name:PINSKY, REBECCA (LPC, NCC, CRC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:PINSKY
Suffix:
Gender:F
Credentials:LPC, NCC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3071 LENOX RD NE APT 15
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-2840
Mailing Address - Country:US
Mailing Address - Phone:978-875-0545
Mailing Address - Fax:
Practice Address - Street 1:1303 BOMBAY LN
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5823
Practice Address - Country:US
Practice Address - Phone:678-459-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC014988101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional