COURTNEY REBEKAH LIETZKE LPC NPI 1861907644

NPI Information

NPI: 1861907644
Provider Name: COURTNEY REBEKAH LIETZKE, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
827 W HARVARD ST
SILOAM SPRINGS, AR
ZIP 72761
Phone: (479) 549-3121
Get Directions

Courtney Rebekah Lietzke, LPC is a mental health counselor in Siloam Springs, AR. Courtney Rebekah Lietzke, LPC NPI is 1861907644. 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:

827 W HARVARD ST
SILOAM SPRINGS, AR
ZIP 72761-013
Phone: (479) 549-3121
Fax: (479) 750-4843

The enumeration date for this NPI number is 12/3/2017 and was last updated on 6/27/2023.

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
1	101YM0800X	Counselor	Mental Health	A1911163	ARKANSAS	No
2	171M00000X	Case Manager/Care Coordinator			OKLAHOMA	No
3	101YM0800X	Counselor	Mental Health	P2306020	ARKANSAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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