Provider Demographics
NPI:1225814346
Name:FERREYRA, REBEKAH A (LMHC)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:A
Last Name:FERREYRA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:A
Other - Last Name:ROSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2406 TIMBERCREST CIR E
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-1620
Mailing Address - Country:US
Mailing Address - Phone:727-686-2133
Mailing Address - Fax:
Practice Address - Street 1:2406 TIMBERCREST CIR E
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1620
Practice Address - Country:US
Practice Address - Phone:727-686-2133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-14965101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty