Healthcare Provider Details

I. General information

NPI: 1386487684
Provider Name (Legal Business Name): REBEKAH DAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH LUNETT DAY FOERSTER

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S DOBSON RD STE 700
MESA AZ
85202-6482
US

IV. Provider business mailing address

PO BOX 9502
CHANDLER HEIGHTS AZ
85127-9502
US

V. Phone/Fax

Practice location:
  • Phone: 602-837-4234
  • Fax: 602-837-4235
Mailing address:
  • Phone: 602-837-4234
  • Fax: 602-837-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-22185
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: