Provider Demographics
NPI:1508157553
Name:GILBERT, REBECA M (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECA
Middle Name:M
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MRS
Other - First Name:REBECA
Other - Middle Name:M
Other - Last Name:GOMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, IMH
Mailing Address - Street 1:915 MALONE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-5524
Mailing Address - Country:US
Mailing Address - Phone:407-205-8303
Mailing Address - Fax:
Practice Address - Street 1:915 MALONE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-5524
Practice Address - Country:US
Practice Address - Phone:407-205-8303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC008468101YP2500X
FLMH20320101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional