Healthcare Provider Details
I. General information
NPI: 1033814751
Provider Name (Legal Business Name): RACHEL C SYKES LMHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2023
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
185 DEVONSHIRE ST STE 502
BOSTON MA
02110-1407
US
IV. Provider business mailing address
185 DEVONSHIRE ST STE 502
BOSTON MA
02110-1407
US
V. Phone/Fax
- Phone: 617-362-8403
- Fax:
- Phone: 617-804-6471
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
RACHEL
CATHERINE
SYKES
Title or Position: OWNER
Credential: M.ED., LMHC
Phone: 617-804-6471