Provider Demographics
NPI:1457805962
Name:DOBBS, REBECCA HAYLEY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:HAYLEY
Last Name:DOBBS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5217 MARYLAND WAY STE 307
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1056
Mailing Address - Country:US
Mailing Address - Phone:615-882-1792
Mailing Address - Fax:615-807-3714
Practice Address - Street 1:5217 MARYLAND WAY STE 307
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1056
Practice Address - Country:US
Practice Address - Phone:615-882-1792
Practice Address - Fax:615-807-3714
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-12
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5783101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional