Healthcare Provider Details

I. General information

NPI: 1104196385
Provider Name (Legal Business Name): REBEKAH L HARTMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2012
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W WOODARD ST STE 209
DENISON TX
75020-3276
US

IV. Provider business mailing address

305 W WOODARD ST STE 209
DENISON TX
75020-3276
US

V. Phone/Fax

Practice location:
  • Phone: 903-265-8545
  • Fax: 903-487-0600
Mailing address:
  • Phone: 903-265-8545
  • Fax: 903-487-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number61001
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number61001
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: