REBEKAH GENTRY NPI 1790426112

NPI Information

  • NPI: 1790426112
  • Provider Name: REBEKAH GENTRY
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 662 DEMING ST SE
    GRAND RAPIDS, MI
    ZIP 49507
  • Phone: (616) 799-1712

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NPI Details

Rebekah Gentry is a counselor in Grand Rapids, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Rebekah Gentry NPI is 1790426112. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

662 DEMING ST SE
GRAND RAPIDS, MI
ZIP 49507-206
Phone: (616) 799-1712

The enumeration date for this NPI number is 4/7/2022 and was last updated on 4/7/2022.

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
1101Y00000XCounselor6451022119MICHIGANYes

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: 3/30/2025

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