MEDICARE: RACHEL RICCHIUTO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	C.2507097	OH

General Provider Information

NPI Number	:	1164306379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL RICCHIUTO

Provider Business Mailing Address
First Line	:	591 BOSTON MILLS RD STE 500
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-1197
Country	:	US
Telephone Number	:	330-810-6860
Fax Number	:

Provider Business Practice Location Address
First Line	:	591 BOSTON MILLS RD STE 500
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-1197
Country	:	US
Telephone Number	:	330-810-6860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2025
Last Update Date	:	08/01/2025

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Directions to “ RACHEL RICCHIUTO ” Practice Location

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