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NPI Code Detail

MEDICARE: REBECCA ELIZABETH LINCOLN LPC-S

MEDICARE:   REBECCA ELIZABETH LINCOLN  LPC-S
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
1101YM0800XMental Health Counselor17816TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117816OTHERTXTEXAS LPC-S LICENSE
212455293OTHERCAQH

General Provider Information

NPI Number : 1346599503
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ELIZABETH LINCOLN LPC-S
Provider Business Mailing Address
First Line : 14665 FM 849
Second Line :
City : LINDALE
State : TX
Zip : 75771-2440
Country : US
Telephone Number : 512-589-9822
Fax Number : 949-577-4252
Provider Business Practice Location Address
First Line : 14665 FM 849
Second Line :
City : LINDALE
State : TX
Zip : 75771-2440
Country : US
Telephone Number : 512-589-9822
Fax Number : 903-593-9865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2012
Last Update Date : 06/10/2021

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Directions to “ REBECCA ELIZABETH LINCOLN LPC-S” Practice Location

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