Provider Demographics
NPI:1295612125
Name:SUAREZ, REBECCA (LAMFT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 S MONTEZUMA ST APT 204
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-4274
Mailing Address - Country:US
Mailing Address - Phone:786-586-1016
Mailing Address - Fax:
Practice Address - Street 1:148 N SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-2712
Practice Address - Country:US
Practice Address - Phone:520-921-0118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist