Provider Demographics
NPI:1942855762
Name:BRANISTAREANU, REBECCA (OT/L, LCSWA, LCAS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BRANISTAREANU
Suffix:
Gender:F
Credentials:OT/L, LCSWA, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HORIZON MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:NC
Mailing Address - Zip Code:28701-0138
Mailing Address - Country:US
Mailing Address - Phone:313-850-7812
Mailing Address - Fax:
Practice Address - Street 1:1509 HAYWOOD RD STE C
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-2607
Practice Address - Country:US
Practice Address - Phone:828-257-4735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2710225X00000X
NC13791225X00000X
NCP019349101YM0800X
NC29222101YA0400X
TN6586225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)