Healthcare Provider Details

I. General information

NPI: 1841908290
Provider Name (Legal Business Name): RACHELA ROSA RANALDI MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD STE 105
HOFFMAN ESTATES IL
60169-2040
US

IV. Provider business mailing address

2500 W HIGGINS RD STE 105
HOFFMAN ESTATES IL
60169-2040
US

V. Phone/Fax

Practice location:
  • Phone: 888-870-1775
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178017898
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: