Provider Demographics
NPI:1245086776
Name:YUVA, REBEKHA MARLENA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:REBEKHA
Middle Name:MARLENA
Last Name:YUVA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:REBEKHA
Other - Middle Name:MARLENA
Other - Last Name:VELO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1355 S HIGLEY RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-4799
Mailing Address - Country:US
Mailing Address - Phone:480-570-4225
Mailing Address - Fax:
Practice Address - Street 1:2454 E DONATO DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-8481
Practice Address - Country:US
Practice Address - Phone:480-570-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-12677104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker