Provider Demographics
NPI:1417468349
Name:OWENS, REBECCA (LPCC-S)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 CHARRING CROSS DR S
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2862
Mailing Address - Country:US
Mailing Address - Phone:614-890-8262
Mailing Address - Fax:614-776-5333
Practice Address - Street 1:171 CHARRING CROSS DR S
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2862
Practice Address - Country:US
Practice Address - Phone:614-890-8262
Practice Address - Fax:614-776-5333
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1400522101YP2500X
OHE1901336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0365802Medicaid