Healthcare Provider Details

I. General information

NPI: 1295384832
Provider Name (Legal Business Name): RACHEL WYCHERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 84TH ST SW STE 103
BYRON CENTER MI
49315-9350
US

IV. Provider business mailing address

PO BOX 86
MOLINE MI
49335-0086
US

V. Phone/Fax

Practice location:
  • Phone: 616-805-3660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401011411
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401011411
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401011411
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: