Healthcare Provider Details

I. General information

NPI: 1063021418
Provider Name (Legal Business Name): RACHEL LORAINNE COUCH LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27393 YNEZ RD STE 151
TEMECULA CA
92591-4605
US

IV. Provider business mailing address

PO BOX 1482
TEMECULA CA
92593-1482
US

V. Phone/Fax

Practice location:
  • Phone: 760-525-7160
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC23555
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: