Provider Demographics
NPI:1902619992
Name:SHYRER, REBECCA DENISE FAITH (PLPC, NCC)
Entity type:Individual
Prefix:
First Name:REBECCA DENISE
Middle Name:FAITH
Last Name:SHYRER
Suffix:
Gender:F
Credentials:PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W ROBERT ST APT 19
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-3202
Mailing Address - Country:US
Mailing Address - Phone:757-450-1321
Mailing Address - Fax:
Practice Address - Street 1:201 HOLIDAY BLVD SUITE 400
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-5282
Practice Address - Country:US
Practice Address - Phone:985-607-6835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health