Provider Demographics
NPI:1063752723
Name:CALVERT LEHMICKE, REBECCA LEA
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LEA
Last Name:CALVERT LEHMICKE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:LEA
Other - Last Name:CALVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 WILSON ST
Mailing Address - Street 2:
Mailing Address - City:CLARKESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30523-5613
Mailing Address - Country:US
Mailing Address - Phone:770-654-3567
Mailing Address - Fax:
Practice Address - Street 1:115 WILSON ST
Practice Address - Street 2:
Practice Address - City:CLARKESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30523-5613
Practice Address - Country:US
Practice Address - Phone:770-654-3567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9603101YM0800X
101YM0800X
TN3420101YM0800X
GA14742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health