Healthcare Provider Details

I. General information

NPI: 1003300799
Provider Name (Legal Business Name): RACHEL MARIE BOELTER LCAT, RDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 11/03/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 W 57TH ST
NEW YORK NY
10019-2802
US

IV. Provider business mailing address

346 HAZEL MILL RD
ASHEVILLE NC
28806-3632
US

V. Phone/Fax

Practice location:
  • Phone: 800-381-7340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number002582
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number002582
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: