| Doctor Name: | REBECCA D MATTINGLY |
| NPI Number: | 1154675031 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS-A |
| License Number: | |
| Business Practice Address: | 227 N Main St Troy, NC - 273713058 |
| Business Phone Number: | 9105723681 |
| Business Fax Number: | 9105725579 |
| Mailing Address: | 284 Executive Park Dr, Suite 100 CONCORD |
| State: | NC |
| Postal Code: | 280251831 |
| Phone Number: | 7049391100 |
| Fax Number: | 7049391173 |
| NPI Enumeration Date: | 10/31/2012 |
| NPI Last Update Date: | 07/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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 |