MEDICARE: REBECCA COOKE SCHULTZ LPC-AT, ATR-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	72854	TX

General Provider Information

NPI Number	:	1194185199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA COOKE SCHULTZ LPC-AT, ATR-BC

Provider Business Mailing Address
First Line	:	PO BOX 250934
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72225-0934
Country	:	US
Telephone Number	:	832-298-7466
Fax Number	:

Provider Business Practice Location Address
First Line	:	4815 LEE AVE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-3728
Country	:	US
Telephone Number	:	832-298-7466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2016
Last Update Date	:	07/29/2025

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