Provider Demographics
NPI:1134779523
Name:LOE, REBEKAH (LMHC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:LOE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 N ORANGE AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6417
Mailing Address - Country:US
Mailing Address - Phone:321-370-7343
Mailing Address - Fax:
Practice Address - Street 1:1600 N ORANGE AVE STE 3
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-6417
Practice Address - Country:US
Practice Address - Phone:321-370-7343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-17
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH19760101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health