MEDICARE: REBEKAH N WEBSTER CPRS - A/F/Y

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	101Y00000X	Counselor
2	251S00000X	Community/Behavioral Health Agency		FL

General Provider Information

NPI Number	:	1871948364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH N WEBSTER CPRS - A/F/Y

Provider Business Mailing Address
First Line	:	905 OLIVE CONCH ST
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570-2090
Country	:	US
Telephone Number	:	786-378-2296
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 OLIVE CONCH ST
Second Line	:
City	:	RUSKIN
State	:	FL
Zip	:	33570-2090
Country	:	US
Telephone Number	:	786-378-2296
Fax Number	:

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

Provider Enumeration Date	:	05/03/2016
Last Update Date	:	07/09/2023

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