Healthcare Provider Details

I. General information

NPI: 1699503045
Provider Name (Legal Business Name): RACHEL GOLDSTEIN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 E MOUNT HOPE AVE
LANSING MI
48910-1913
US

IV. Provider business mailing address

2535 E MOUNT HOPE AVE
LANSING MI
48910-1913
US

V. Phone/Fax

Practice location:
  • Phone: 616-737-2422
  • Fax: 517-372-2542
Mailing address:
  • Phone: 616-737-2422
  • Fax: 517-372-2542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. RACHEL ESTHER GOLDSTEIN
Title or Position: PARTNER
Credential: LMSW
Phone: 616-737-2422