Healthcare Provider Details

I. General information

NPI: 1477214062
Provider Name (Legal Business Name): RACHAEL A ESCARENO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHAEL A ESCARENO

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 HOGBACK RD STE 100
ANN ARBOR MI
48105-9750
US

IV. Provider business mailing address

419 WAYMARKET DR
ANN ARBOR MI
48103-6615
US

V. Phone/Fax

Practice location:
  • Phone: 313-444-5581
  • Fax:
Mailing address:
  • Phone: 313-444-5581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451022040
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: