MEDICARE: REBECCA ATKINS LMHC

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	LPC20922	AZ
2	101YM0800X	Mental Health Counselor	LH60818070	WA

General Provider Information

NPI Number	:	1881000446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ATKINS LMHC

Provider Business Mailing Address
First Line	:	2845 LILLIE AVE
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-5346
Country	:	US
Telephone Number	:	253-720-8480
Fax Number	:	253-409-2561

Provider Business Practice Location Address
First Line	:	2845 LILLIE AVE
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-5346
Country	:	US
Telephone Number	:	253-254-9147
Fax Number	:	253-409-2561

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

Provider Enumeration Date	:	07/03/2014
Last Update Date	:	06/09/2023

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Directions to “ REBECCA ATKINS LMHC” Practice Location

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