Provider Demographics
NPI:1265156871
Name:ZELLERS, REBECCA HOPE (MS, LMHC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:HOPE
Last Name:ZELLERS
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 NE 10TH AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-3258
Mailing Address - Country:US
Mailing Address - Phone:727-226-0733
Mailing Address - Fax:
Practice Address - Street 1:611 NE 10TH AVE APT 5
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-3258
Practice Address - Country:US
Practice Address - Phone:727-226-0733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22976101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH22976OtherFLORIDA DEPARTMENT OF HEALTH