Provider Demographics
NPI:1720852692
Name:GUNTER, REBEKAH JANE (LMSW)
Entity type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:JANE
Last Name:GUNTER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:366 HILLSBORO RD
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:GA
Mailing Address - Zip Code:30621-1509
Mailing Address - Country:US
Mailing Address - Phone:706-206-6394
Mailing Address - Fax:
Practice Address - Street 1:700 SUNSET DR STE 302
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-7721
Practice Address - Country:US
Practice Address - Phone:706-705-7407
Practice Address - Fax:706-608-2472
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW011632104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker