Healthcare Provider Details

I. General information

NPI: 1699475988
Provider Name (Legal Business Name): MS. RASHEEKA CARRIERE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5190 ATLANTIC AVE
LONG BEACH CA
90805-6510
US

IV. Provider business mailing address

5190 ATLANTIC AVE
LONG BEACH CA
90805-6510
US

V. Phone/Fax

Practice location:
  • Phone: 562-428-4111
  • Fax: 562-984-5610
Mailing address:
  • Phone: 562-428-4111
  • Fax: 562-984-5610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: