Provider Demographics
NPI:1063821999
Name:MALINOSKY, REBECCA (MA, LMHC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MALINOSKY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:HAGEMEISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:855-832-6727
Mailing Address - Fax:
Practice Address - Street 1:5003 EVERSON GOSHEN RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8737
Practice Address - Country:US
Practice Address - Phone:206-817-7086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician