Healthcare Provider Details

I. General information

NPI: 1750896536
Provider Name (Legal Business Name): RACHEL FLESHER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL L FLESHER LPC

II. Dates (important events)

Enumeration Date: 12/03/2017
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 N LEROY ST
FENTON MI
48430-2760
US

IV. Provider business mailing address

12362 DOLLAR LAKE CT
FENTON MI
48430-9727
US

V. Phone/Fax

Practice location:
  • Phone: 810-771-8969
  • Fax: 844-558-9767
Mailing address:
  • Phone: 248-535-7707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401015942
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: