Healthcare Provider Details

I. General information

NPI: 1972435410
Provider Name (Legal Business Name): RACHEL YEUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 SILVERLAKE BLVD STE 2
CARLE PLACE NY
11514-1644
US

IV. Provider business mailing address

234 SILVERLAKE BLVD STE 2
CARLE PLACE NY
11514-1644
US

V. Phone/Fax

Practice location:
  • Phone: 917-410-6866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number017494
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: