Healthcare Provider Details

I. General information

NPI: 1659027795
Provider Name (Legal Business Name): RAECHEL COYLA ATCHISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAECHEL COYLA HRICIK

II. Dates (important events)

Enumeration Date: 02/28/2022
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 86
TEHACHAPI CA
93581-0086
US

IV. Provider business mailing address

PO BOX 86
TEHACHAPI CA
93581-0086
US

V. Phone/Fax

Practice location:
  • Phone: 661-800-7913
  • Fax:
Mailing address:
  • Phone: 661-800-7913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT161784
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: