Provider Demographics
NPI:1982803391
Name:TRAMMELL, REBECCA E (NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:E
Last Name:TRAMMELL
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 OWEN WAY
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-4473
Mailing Address - Country:US
Mailing Address - Phone:512-369-2195
Mailing Address - Fax:
Practice Address - Street 1:116 OWEN WAY
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-4473
Practice Address - Country:US
Practice Address - Phone:512-369-2195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2017-01-06
Deactivation Date:2015-02-02
Deactivation Code:
Reactivation Date:2016-08-29
Provider Licenses
StateLicense IDTaxonomies
PAPC002739101YP2500X
NC85392101YP2500X
TX62916101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor