MEDICARE: REBECCA BEEBE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	92443	TX
2	101YP2500X	Professional Counselor	92443	TX

General Provider Information

NPI Number	:	1174326839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA BEEBE

Provider Business Mailing Address
First Line	:	13423 BLANCO RD # 514
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2187
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9704 LITTLETON GRIST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-2383
Country	:	US
Telephone Number	:	972-626-0456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	06/06/2025

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Directions to “ REBECCA BEEBE ” Practice Location

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