Healthcare Provider Details

I. General information

NPI: 1225949563
Provider Name (Legal Business Name): RACHEL LIBERMAN HHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 NE 172ND ST
NORTH MIAMI BEACH FL
33162-2737
US

IV. Provider business mailing address

1360 NE 172ND ST
NORTH MIAMI BEACH FL
33162-2737
US

V. Phone/Fax

Practice location:
  • Phone: 917-568-5614
  • Fax: 917-568-5614
Mailing address:
  • Phone: 917-568-5614
  • Fax: 917-568-5614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number2023673831
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: