Organization
RECONNECT COUNSELING OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA VAN WAGENEN BERMUDEZ LCSW (LICENSED CLINICAL SOCIAL WORKER)
(480) 701-8828
Entity
Organization
Contact information
Practice address
815 E WARNER RD STE 100, CHANDLER, AZ 85225-1057
(602) 741-8537
(480) 892-4640
Mailing address
122 S NEVADA WAY, GILBERT, AZ 85233-4707
(480) 701-8828
(480) 892-4640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14310600
CAQH
AZ
Enumeration date
09/07/2018
Last updated
12/13/2025
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