Healthcare Provider Details

I. General information

NPI: 1891666301
Provider Name (Legal Business Name): RACHEL BARRAZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3145 45TH ST STE G
HIGHLAND IN
46322-3292
US

IV. Provider business mailing address

3145 45TH ST STE G
HIGHLAND IN
46322-3292
US

V. Phone/Fax

Practice location:
  • Phone: 331-277-8585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88003467A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: