Healthcare Provider Details

I. General information

NPI: 1306688932
Provider Name (Legal Business Name): RACHELLE R. BODLE, LMFT, THERAPIST EFFECT MARRIAGE & FAMILY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 E COLORADO BLVD STE 205
PASADENA CA
91101-2028
US

IV. Provider business mailing address

595 E COLORADO BLVD STE 205
PASADENA CA
91101-2028
US

V. Phone/Fax

Practice location:
  • Phone: 818-860-2770
  • Fax:
Mailing address:
  • Phone: 818-860-2770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE BODLE
Title or Position: PRESIDENT
Credential: LMFT
Phone: 818-860-2770