REBECCA ANN LILES


Address: 4077 Jefferson Ave, Texarkana, AR 71854-1509
Phone: 8703309200

REBECCA ANN LILES (NPI# 1578066452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578066452
Entity Type Individual
Full Name REBECCA ANN LILES
Practice Address 4077 Jefferson Ave
Texarkana
AR 71854-1509
Mailing Address Po Box 1326
Marshall
TX 75671-1326
Practice Telephone 8703309200
Practice Fax Number 8703309439
Mailing Telephone 9039273782
Mailing Fax Number 9039271764
Enumeration Date 2018-03-16
Last Update Date 2020-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker 8653-C AR Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX STATE LICENSE 64819 01
AR STATE LICENSE 8653-C 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 College Dr Ste 204, Texarkana, TX 755033575 9037911110 9037919352

Office Location

Street Address 4077 JEFFERSON AVE
City TEXARKANA
State AR
Zip Code 71854-1509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487617031 Kevin Earl Kramer Pediatrics 4077 Jefferson Ave, Texarkana, AR 71854-1509 2006-04-06
1548745383 East Texas Border Health Clinic Counselor 4077 Jefferson Ave, Texarkana, AR 71854-1509 2018-09-27
1104316819 Porscha Nicole Branch Nurse Practitioner 4077 Jefferson Ave, Texarkana, AR 71854-1509 2018-05-17
1720516719 Amanda Michelle Ferrer Family Medicine 4077 Jefferson Ave, Texarkana, AR 71854-1509 2017-06-02
1720364334 Kathryn E Brannan Nurse Practitioner 4077 Jefferson Ave, Texarkana, AR 71854 2011-10-26
1275769903 Tammy Crawford Counselor 4077 Jefferson Ave, Texarkana, AR 71854 2009-06-09
1932262995 Angela Linda Graves Nurse Practitioner 4077 Jefferson Ave, Texarkana, AR 71854-1509 2006-12-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962988253 Holly Renee Snipe Registered Nurse 4700 Sunbury Dr, Texarkana, AR 71854 2018-07-19
1023500634 Carlotta A Powell Counselor 7000 N Stateline Ave, Texarkana, AR 71854 2018-05-31
1326538810 Chad Roldan Occupational Therapy Assistant 6402 Countryside Dr, Texarkana, AR 71854 2018-05-10
1649797481 Alliance Counseling Agency LLC Community/Behavioral Health 819 Beech St, Texarkana, AR 71854 2017-08-23
1366971467 Kimberly Dian Cox Case Manager/Care Coordinator 7000 North Stateline Ave, Texarkana, AR 71854 2017-06-12
1295260040 Seniors for Senior Care Adult Companion 4613 Parkway Dr., Texarkana, AR 71854 2017-04-28
1033650635 Texarkana Eye Associates Optometrist 114 East 49th St, Texarkana, AR 71854 2017-03-15
1881064731 Texarkana Group, P.l.l.c Chiropractor 2100 N. State Line Ave., Texarkana, AR 71854 2015-10-05
1528301819 Megan Guercio Specialist/Technologist 1002 East 35th Street, Texarkana, AR 71854 2013-04-04
1831439116 James Wesley Mcraven Nurse Practitioner 210 N. Stateline, Suite 301, Texarkana, AR 71854 2013-02-22
Find all providers in zip 71854

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902219587 Jessica Bennett Social Worker 216 Olive St, Texarkana, AR 71854-5932 2014-06-11
1366772386 Kizer Contrel Neal Social Worker 4613 Parkway Dr Ste 5, Texarkana, AR 71854-1142 2010-01-14
1104941319 Terrance Delores Brewer Social Worker 4425 Jefferson Ave Ste 106, Texarkana, AR 71854-1529 2007-03-20
1679679070 Kimberly Lyn Baggett Social Worker 4096 Summerhill Square, Texarkana, TX 75503 2006-09-15
1538673140 Kristine Johansson Yells Social Worker 1400 College Dr Ste 204, Texarkana, TX 75503-3575 2017-11-20
1558738021 Raelyn Hardee Social Worker 701 Arkansas Blvd, Texarkana, AR 71854-2105 2015-08-31
1326461872 David Alexander Dean Social Worker 701 Arkansas Blvd, Texarkana, AR 71854 2014-02-03
1285060012 Danette Allen Social Worker 1400 College Dr Ste 204, Texarkana, TX 75503-3575 2013-09-25
1073892634 Terri A Rowe Social Worker 701 Arkansas Blvd, Texarkana, AR 71854-2105 2011-08-12
1760789622 Castain Alfred IIi Social Worker 701 Arkansas Blvd, Texarkana, AR 71854-2105 2011-02-11
Find all providers in TEXARKANA

Competitor

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City TEXARKANA
Zip Code 71854

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Dataset Information

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.

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