Provider Demographics
NPI:1912299439
Name:COURSEY, REBEKAH ANN (BSSLPA)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ANN
Last Name:COURSEY
Suffix:
Gender:
Credentials:BSSLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 HIDDEN SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-8682
Mailing Address - Country:US
Mailing Address - Phone:501-516-1696
Mailing Address - Fax:
Practice Address - Street 1:4801 HIDDEN SPRINGS LN
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-8682
Practice Address - Country:US
Practice Address - Phone:501-516-1696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR10163-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR186183721Medicaid