Healthcare Provider Details

I. General information

NPI: 1982559241
Provider Name (Legal Business Name): RACHEL REBECCA THONI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W SYBELIA AVE
MAITLAND FL
32751-4739
US

IV. Provider business mailing address

206 W SYBELIA AVE
MAITLAND FL
32751-4739
US

V. Phone/Fax

Practice location:
  • Phone: 407-865-0495
  • Fax:
Mailing address:
  • Phone: 407-865-0495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH21985
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberATR22-239
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: