Healthcare Provider Details

I. General information

NPI: 1003733916
Provider Name (Legal Business Name): REBECCA NICHOLAS LAPC, MA, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 MERIDIAN RD
RENFREW PA
16053-9616
US

IV. Provider business mailing address

542 MERIDIAN RD
RENFREW PA
16053-9616
US

V. Phone/Fax

Practice location:
  • Phone: 724-504-8925
  • Fax:
Mailing address:
  • Phone: 724-504-8925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002476
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: