Healthcare Provider Details

I. General information

NPI: 1831950187
Provider Name (Legal Business Name): MS. RACHEL MARAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2024
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 SMITH AVE
MOUNT KISCO NY
10549-2814
US

IV. Provider business mailing address

24 SMITH AVE
MOUNT KISCO NY
10549-2814
US

V. Phone/Fax

Practice location:
  • Phone: 914-666-6740
  • Fax: 914-666-8596
Mailing address:
  • Phone: 914-666-6740
  • Fax: 914-666-8596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP127016
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberP127016
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: