Healthcare Provider Details

I. General information

NPI: 1144412297
Provider Name (Legal Business Name): REBECKAH BIRKINSHA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27388 MERIDIAN ST
HEMET CA
92544-8336
US

IV. Provider business mailing address

27388 MERIDIAN ST
HEMET CA
92544-8336
US

V. Phone/Fax

Practice location:
  • Phone: 951-265-9276
  • Fax:
Mailing address:
  • Phone: 951-265-9276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number48887
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: