Healthcare Provider Details

I. General information

NPI: 1144866419
Provider Name (Legal Business Name): REBEKAH VIRGINIA CONLISK LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 VIEW POINTE DR
MURPHY NC
28906-8621
US

IV. Provider business mailing address

120 VIEW POINTE DR
MURPHY NC
28906-8621
US

V. Phone/Fax

Practice location:
  • Phone: 828-837-0071
  • Fax:
Mailing address:
  • Phone: 828-837-0071
  • Fax: 828-837-5309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15319
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15319
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: