REBEKAH M REYNOLDS (NPI# 1134759491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134759491 |
| Entity Type | Individual |
| Full Name | REBEKAH M REYNOLDS |
| Credential | MSW, ICAADC, ARBS II |
| Practice Address |
5833 Stewart Pkwy Ste 103 Douglasville GA 30135-6933 |
| Practice Telephone | 8447822454 |
| Practice Fax Number | 8337822329 |
| Mailing Telephone | 8447822454 |
| Mailing Fax Number | 8337822329 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C0305 | GA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768090 | Rebekah Reynolds | Counselor | 37625 Pembroke Ave, Livonia, MI 48152-1050 | 2020-07-29 |
| 1891337093 | Rebekah Celeste Reynolds | Nurse Practitioner | 1020 N Flowood Dr Ste A, Flowood, MS 39232-9532 | 2019-10-09 |
| 1366845216 | Rebekah Anne Reynolds | Social Worker | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2014-10-07 |
| Street Address |
5833 STEWART PKWY STE 103 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578193835 | Stability Rebooted, LLC | Case Management | 5833 Stewart Pkwy Ste 103, Douglasville, GA 30135-6933 | 2020-01-24 |
| 1184250854 | Cheryll Sue Gaver | Counselor | 5833 Stewart Pkwy Ste 103, Douglasville, GA 30135-6933 | 2020-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337539 | Brittany Mccaleb | Counselor | 12461 Veterans Memorial Hwy Ste 575, Douglasville, GA 30134-2025 | 2020-02-11 |
| 1720561194 | Dove Long | Counselor | 2109 Fairburn Rd # A, Douglasville, GA 30135-1037 | 2018-09-12 |
| 1659552651 | Antoinette Gooden | Counselor | 6000 Stewart Parkway, #6777, Douglasville, GA 30135-6777 | 2007-11-18 |
| 1376168302 | Shahagony Banks | Counselor | 2109 Fairburn Rd Ste A, Douglasville, GA 30135-1037 | 2020-06-16 |
| 1073137394 | Justin Murray | Counselor | 8335 Office Park Dr, Douglasville, GA 30134-6937 | 2020-06-02 |
| 1184250854 | Cheryll Sue Gaver | Counselor | 5833 Stewart Pkwy Ste 103, Douglasville, GA 30135-6933 | 2020-03-13 |
| 1952934168 | Sherri Vernell Wilson | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2020-02-17 |
| 1376189431 | Mark David Lafond | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-11-25 |
| 1073168969 | Ruth Fitzgerad | Counselor | 2109 Fairburn Rd, Douglasville, GA 30135-1037 | 2019-08-07 |
| 1780246751 | Kathryn Walker | Counselor | 2109 Fairburn Rd # A, Douglasville, GA 30135-1037 | 2019-07-01 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on REBEKAH M REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.