Basic Information
| Provider Information | |||||||||
| NPI: | 1740366921 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BILBE | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6621 DONIPHAN | ||||||||
| Address2: | SUITE G | ||||||||
| City: | CANUTILLO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9158775100 | ||||||||
| FaxNumber: | 9158775107 | ||||||||
| Practice Location | |||||||||
| Address1: | 6044 GATEWAY EAST | ||||||||
| Address2: | SUITE 405 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 79905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9157795600 | ||||||||
| FaxNumber: | 9157795605 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | 8990 | TX | X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 101YP2500X | 12499 | TX | X | Behavioral Health & Social Service Providers | Counselor | Professional |
ID Information
| ID | Type | State | Issuer | Description | 83749L | 01 | TX | BCBS OF TEXAS | OTHER | NM600035 | 01 | NM | VALUE OPTIONS | OTHER |