Healthcare Provider Details

I. General information

NPI: 1942736558
Provider Name (Legal Business Name): REBECCA MCKINNEY PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA DAY

II. Dates (important events)

Enumeration Date: 05/03/2017
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KENTON DR STE 200
CHARLESTON WV
25311-1256
US

IV. Provider business mailing address

PO BOX 390
HUNTINGTON WV
25708-0390
US

V. Phone/Fax

Practice location:
  • Phone: 304-513-3495
  • Fax:
Mailing address:
  • Phone: 304-429-1088
  • Fax: 304-696-1623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number998
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: