Healthcare Provider Details

I. General information

NPI: 1972600948
Provider Name (Legal Business Name): RACHEL WEINSTEIN-ABRAMS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6261 DUPONT STATION CT
JACKSONVILLE FL
32217-2567
US

IV. Provider business mailing address

4090 HODGES BLVD APARTMENT 712
JACKSONVILLE FL
32224-4204
US

V. Phone/Fax

Practice location:
  • Phone: 904-394-5761
  • Fax: 904-448-0349
Mailing address:
  • Phone: 904-223-7520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH7207
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: