Healthcare Provider Details

I. General information

NPI: 1982181343
Provider Name (Legal Business Name): REBEKAH COTNER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2018
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 XENIA AVE
DAYTON OH
45410-1826
US

IV. Provider business mailing address

624 XENIA AVE
DAYTON OH
45410-1826
US

V. Phone/Fax

Practice location:
  • Phone: 937-259-1898
  • Fax: 937-518-7716
Mailing address:
  • Phone: 937-259-1898
  • Fax: 937-518-7716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: