Healthcare Provider Details

I. General information

NPI: 1336590546
Provider Name (Legal Business Name): REBEKAH W BEST MHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 CHILDRENS WAY
ENTERPRISE FL
32725-8135
US

IV. Provider business mailing address

51 CHILDRENS WAY
ENTERPRISE FL
32725-8135
US

V. Phone/Fax

Practice location:
  • Phone: 386-668-4774
  • Fax:
Mailing address:
  • Phone: 386-668-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH 10926
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: