Healthcare Provider Details

I. General information

NPI: 1306424288
Provider Name (Legal Business Name): RACHEL VANESSA FTAIHA LMHC, LMFT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 STIRLING RD STE 204C
HOLLYWOOD FL
33024-8015
US

IV. Provider business mailing address

9720 STIRLING RD STE 204C
HOLLYWOOD FL
33024-8015
US

V. Phone/Fax

Practice location:
  • Phone: 786-248-1251
  • Fax:
Mailing address:
  • Phone: 786-248-1251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017980
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT-16507
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH19036
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT4974
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.0002726
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: