Provider Demographics
NPI:1982320016
Name:REBECCA S PERRY LMSW MENTAL HEALTH COUNSELING SERVICES
Entity Type:Organization
Organization Name:REBECCA S PERRY LMSW MENTAL HEALTH COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:989-640-1500
Mailing Address - Street 1:6322 S FRIEGEL RD
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-9263
Mailing Address - Country:US
Mailing Address - Phone:989-640-1500
Mailing Address - Fax:
Practice Address - Street 1:6322 S FRIEGEL RD
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-9263
Practice Address - Country:US
Practice Address - Phone:989-640-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty