Provider Demographics
NPI:1871374793
Name:MACKEEN, REBECCA LYNN (MA LPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:MACKEEN
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:LYNN
Other - Last Name:MACKEEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REBECCA HADDOX
Mailing Address - Street 1:7113 VINEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79108-3310
Mailing Address - Country:US
Mailing Address - Phone:806-570-8910
Mailing Address - Fax:
Practice Address - Street 1:7113 VINEWOOD ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79108-3310
Practice Address - Country:US
Practice Address - Phone:806-570-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional