Provider Demographics
NPI:1699016873
Name:VILLA, REBECCA HUIZAR (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:HUIZAR
Last Name:VILLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 EVANS ST STE A
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-6052
Mailing Address - Country:US
Mailing Address - Phone:830-278-5604
Mailing Address - Fax:
Practice Address - Street 1:200 EVANS ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-5142
Practice Address - Country:US
Practice Address - Phone:830-278-7105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX328861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical