Healthcare Provider Details

I. General information

NPI: 1558632000
Provider Name (Legal Business Name): RACHEL M. FRANQUEMONT LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2012
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 ALEXANDER DR APT 821
ASHEVILLE NC
28801-3778
US

IV. Provider business mailing address

10 ALEXANDER DR APT 821
ASHEVILLE NC
28801-3778
US

V. Phone/Fax

Practice location:
  • Phone: 617-259-7576
  • Fax:
Mailing address:
  • Phone: 617-259-7576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA17231
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7505
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number00994
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: