REBIRTH COUNSELING PLLC NPI 1255971958

NPI Information

  • NPI: 1255971958
  • Provider Name: REBIRTH COUNSELING, PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1100 STONE RD STE 103
    KILGORE, TX
    ZIP 75662
  • Phone: (469) 608-0295

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NPI Details

REBIRTH COUNSELING, PLLC is a professional counselor in Kilgore, TX. REBIRTH COUNSELING, PLLC NPI is 1255971958. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 STONE RD STE 103
KILGORE, TX
ZIP 75662-494
Phone: (469) 608-0295
Fax: (903) 913-7274

The provider's authorized official is Crystal Dionne Dudley .
The authorized official title is Owner and has the following contact phone number (469) 608-0295.

The enumeration date for this NPI number is 1/10/2020 and was last updated on 1/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13921009-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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