Healthcare Provider Details

I. General information

NPI: 1952664286
Provider Name (Legal Business Name): REBECCA LYNN BAUMILLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 11/03/2023
Certification Date: 11/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 ROBERTS RD SUITE 150
GRINDSTONE PA
15442-1105
US

IV. Provider business mailing address

111 ROBERTS RD SUITE 150
GRINDSTONE PA
15442-1105
US

V. Phone/Fax

Practice location:
  • Phone: 724-785-4346
  • Fax: 724-364-7117
Mailing address:
  • Phone: 724-785-4346
  • Fax: 724-364-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006404
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: