Healthcare Provider Details

I. General information

NPI: 1891153938
Provider Name (Legal Business Name): REBECCA EYRE LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2016
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 COURT ST STE 1621
BROOKLYN NY
11242-1116
US

IV. Provider business mailing address

26 COURT ST STE 1621
BROOKLYN NY
11242-1116
US

V. Phone/Fax

Practice location:
  • Phone: 917-283-4420
  • Fax: 917-789-5702
Mailing address:
  • Phone: 917-283-4420
  • Fax: 917-789-5702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01154400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number013781
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60478957
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: