1740366921 NPI number — MS. REBECCA BILBE LPC

Table of content: MS. REBECCA BILBE LPC (NPI 1740366921)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740366921 NPI number — MS. REBECCA BILBE LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BILBE
Provider First Name:
REBECCA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740366921
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6621 DONIPHAN
Provider Second Line Business Mailing Address:
SUITE G
Provider Business Mailing Address City Name:
CANUTILLO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79835
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-877-5100
Provider Business Mailing Address Fax Number:
915-877-5107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6044 GATEWAY EAST
Provider Second Line Business Practice Location Address:
SUITE 405
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-779-5600
Provider Business Practice Location Address Fax Number:
915-779-5605
Provider Enumeration Date:
10/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  8990 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 101YP2500X , with the licence number: 12499 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 83749L . This is a "BCBS OF TEXAS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: NM600035 . This is a "VALUE OPTIONS" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".




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