Healthcare Provider Details

I. General information

NPI: 1073981403
Provider Name (Legal Business Name): RACHEL HOTTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CHURCH ST STE 302
YALESVILLE CT
06492-2253
US

IV. Provider business mailing address

4 ROWLAND DR
PROSPECT CT
06712-1120
US

V. Phone/Fax

Practice location:
  • Phone: 475-265-5049
  • Fax:
Mailing address:
  • Phone:
  • 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:
Title or Position:
Credential:
Phone: