Healthcare Provider Details

I. General information

NPI: 1043144975
Provider Name (Legal Business Name): REBEKAH NICOLE BECK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N COLLEGE AVE
EL DORADO AR
71730-4403
US

IV. Provider business mailing address

302 W 12TH ST
SMACKOVER AR
71762-2047
US

V. Phone/Fax

Practice location:
  • Phone: 870-862-7921
  • Fax:
Mailing address:
  • Phone: 985-249-0096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: