Provider Demographics
NPI:1518758978
Name:DAVILA, REBECCA (MS, RMFTI)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:DAVILA
Suffix:
Gender:F
Credentials:MS, RMFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 E COCO PLUM CIR APT 5
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3752
Mailing Address - Country:US
Mailing Address - Phone:954-498-9349
Mailing Address - Fax:
Practice Address - Street 1:711 E COCO PLUM CIR APT 5
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3752
Practice Address - Country:US
Practice Address - Phone:954-498-9349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT4380106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist