Provider Demographics
NPI:1649457011
Name:ZAHURONES, REBEKAH C (LCSW)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:C
Last Name:ZAHURONES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 CASTLEWOOD DR STE D
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-5163
Mailing Address - Country:US
Mailing Address - Phone:615-768-9647
Mailing Address - Fax:615-203-0231
Practice Address - Street 1:209 CASTLEWOOD DR STE D
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-5163
Practice Address - Country:US
Practice Address - Phone:615-768-9647
Practice Address - Fax:615-203-0231
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5442115Medicaid