Provider Demographics
NPI:1174080501
Name:REBECCA A. WARD
Entity type:Organization
Organization Name:REBECCA A. WARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-527-6778
Mailing Address - Street 1:582 MARKET ST STE 1011
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5311
Mailing Address - Country:US
Mailing Address - Phone:415-527-6778
Mailing Address - Fax:
Practice Address - Street 1:582 MARKET ST STE 1011
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5311
Practice Address - Country:US
Practice Address - Phone:415-527-6778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health