Healthcare Provider Details

I. General information

NPI: 1932904133
Provider Name (Legal Business Name): RACHEL HEGGINS MS, D.MIN, HCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 PITTSBURG AVE SUITE-A
DUNDALK MD
21222-6208
US

IV. Provider business mailing address

626 PITTSBURG AVE
DUNDALK MD
21222-6208
US

V. Phone/Fax

Practice location:
  • Phone: 443-540-7268
  • Fax:
Mailing address:
  • Phone: 443-540-7268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberHE73045
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: