Provider Demographics
NPI:1679962443
Name:ALMEIDA, BECKY RENEE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:RENEE
Last Name:ALMEIDA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 PITTMAN RD APT 818
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-6734
Mailing Address - Country:US
Mailing Address - Phone:530-309-6030
Mailing Address - Fax:
Practice Address - Street 1:450 PITTMAN RD APT 818
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-6734
Practice Address - Country:US
Practice Address - Phone:503-405-6590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-17
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83737101YM0800X
CAIMF8373719250106H00000X
CALMFT115223106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1679962443Medicaid