REBECCA SMALL
NPI 1487016598
Counselor - Professional in Greenwood, MS
Active since March 28, 2016
About Rebecca Small NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA SMALL (NPI 1487016598) is an individual professional provider in Greenwood, Mississippi, licensed in Mississippi (1595) and active in the NPI registry since March 2016.
NPPES Registry Identity
NPI1487016598
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREBECCA SMALL
Location Address2504 BROWNING ROAD 520Greenwood, MS 38930-6022
Mailing AddressPo Box 1505Greenwood, MS 38935-1505 · (662) 453-6211
Phone(662) 453-6211
Sole ProprietorNo
Enumeration DateMarch 28, 2016
✔ NPI 1487016598 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 1595
2504 BROWNING ROAD 520, Greenwood, MS 38930
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2504 BROWNING ROAD 520
GREENWOOD, MS 38930
GREENWOOD, MS 38930
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487016598, enumerated as an "individual" on March 28, 2016.
The provider is located at 2504 BROWNING ROAD 520 GREENWOOD, MS 38930 and the phone number is (662) 453-6211.
Counselor with taxonomy code 101YP2500X and a focus in Professional.