MEDICARE: WILLIAM REHKAMP M.S., LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH10887	FL

General Provider Information

NPI Number	:	1285918664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM REHKAMP M.S., LMHC

Provider Business Mailing Address
First Line	:	5040 SW 96TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-6447
Country	:	US
Telephone Number	:	305-801-2176
Fax Number	:

Provider Business Practice Location Address
First Line	:	5040 SW 96TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-6447
Country	:	US
Telephone Number	:	305-801-2176
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2011
Last Update Date	:	12/13/2013

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