Provider Demographics
NPI:1699976050
Name:NORTHCOTT, REBECCA LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEIGH
Last Name:NORTHCOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LEIGH
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 S. 48TH STREET
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762
Mailing Address - Country:US
Mailing Address - Phone:479-750-2020
Mailing Address - Fax:479-750-8967
Practice Address - Street 1:2400 S. 48TH STREET
Practice Address - Street 2:
Practice Address - City:SPRINDALE
Practice Address - State:AR
Practice Address - Zip Code:72762
Practice Address - Country:US
Practice Address - Phone:479-443-7105
Practice Address - Fax:479-443-2519
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0503015101YP2500X
TX17366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional