Gorchoff, Rebecca Kelly

Gorchoff, Rebecca Kelly is an sole proprietor health care provider with primary practice located at 2900 N University Dr Ste 30 , Coral Springs FL 33065-5083. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gorchoff, Rebecca Kelly can be contacted via phone (954) 648-3974.

Contact Information

Primary practice address
2900 N University Dr Ste 30 Coral Springs FL 33065-5083
Phone: (954) 648-3974
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X IMT1752 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 13360 Florida

Profile Details

NPI number 1386992535
LBN Legal business name Gorchoff, Rebecca Kelly
Credentials LMHC, RMHCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2012
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386992535 NPPES
Florida MEDICAID 070525000

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