Rebecca C Adams, LMSW
Social Worker, Clinical in Tyler, TX. Individual provider (NPI-1).
NPI number1255109476
StatusActive
Last updated in NPPESFeb 14, 2025
Details
- NPI
- 1255109476
- Entity type
- Individual (NPI-1)
- Name
- Rebecca C Adams
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2023
- Certification date
- Feb 14, 2025
- Last updated
- Feb 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 107979 | TX | Yes |
| 101YM0800X | Counselor, Mental Health | 107979 | TX |
Practice location
5855 Deauville StTyler, TX 75704-2042
Phone 928-208-9099
Mailing address
5855 Deauville StTyler, TX 75704-2042
Phone 928-208-9099
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