Healthcare Provider Details

I. General information

NPI: 1881501211
Provider Name (Legal Business Name): REBEKAH G CARLIN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2224 N CRAYCROFT RD APT 1105
TUCSON AZ
85712-2811
US

IV. Provider business mailing address

7401 E SPEEDWAY BLVD APT 1105
TUCSON AZ
85710-1518
US

V. Phone/Fax

Practice location:
  • Phone: 520-869-1400
  • Fax:
Mailing address:
  • Phone: 520-771-5646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMSW-22476
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: