MEDICARE: REBEKKA HELFORD FAMILY COUNSELING A PROFESSIONAL CORPORATION

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1184488710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBEKKA HELFORD FAMILY COUNSELING A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2716 OCEAN PARK BLVD STE 1055
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-5231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2716 OCEAN PARK BLVD STE 1055
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-5231
Country	:	US
Telephone Number	:	310-927-3957
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	REBEKKA HELFORD
Credential	:	MFT
Telephone Number	:	310-927-3957

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	02/13/2024

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