Healthcare Provider Details

I. General information

NPI: 1477215598
Provider Name (Legal Business Name): SEAN RAHNER LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 SUMNER AVE APT 205
SPRINGFIELD MA
01108-2375
US

IV. Provider business mailing address

34 SUMNER AVE APT 205
SPRINGFIELD MA
01108-2375
US

V. Phone/Fax

Practice location:
  • Phone: 706-710-4965
  • Fax:
Mailing address:
  • Phone: 762-383-9909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10003754
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC013786
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: