Provider Demographics
NPI:1871948364
Name:WEBSTER, REBEKAH N (CPRS - A/F/Y)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:N
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:CPRS - A/F/Y
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 OLIVE CONCH ST
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-2090
Mailing Address - Country:US
Mailing Address - Phone:786-378-2296
Mailing Address - Fax:
Practice Address - Street 1:905 OLIVE CONCH ST
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-2090
Practice Address - Country:US
Practice Address - Phone:786-378-2296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor