Healthcare Provider Details

I. General information

NPI: 1649897828
Provider Name (Legal Business Name): RACHEL SCHELHAAS LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2020
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 LEONARD ST NE
GRAND RAPIDS MI
49503-1177
US

IV. Provider business mailing address

825 LEONARD ST NE
GRAND RAPIDS MI
49503-1177
US

V. Phone/Fax

Practice location:
  • Phone: 616-200-4324
  • Fax:
Mailing address:
  • Phone: 616-200-4324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801106878
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: