Provider Demographics
NPI:1841860012
Name:EBELING, REBECCA A (MA, ATR, TEMP P-LPC)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:A
Last Name:EBELING
Suffix:
Gender:F
Credentials:MA, ATR, TEMP P-LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TELETECH DR STE 3
Mailing Address - Street 2:
Mailing Address - City:MOUNDSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26041-2790
Mailing Address - Country:US
Mailing Address - Phone:304-221-3012
Mailing Address - Fax:304-221-3009
Practice Address - Street 1:100 TELETECH DR STE 3
Practice Address - Street 2:
Practice Address - City:MOUNDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26041-2790
Practice Address - Country:US
Practice Address - Phone:304-221-3012
Practice Address - Fax:304-221-3009
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health