Healthcare Provider Details

I. General information

NPI: 1669355517
Provider Name (Legal Business Name): RACHEL OSBORN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL BROWNE

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 GRANT ST
AKRON OH
44311-2136
US

IV. Provider business mailing address

834 GRANT ST
AKRON OH
44311-2136
US

V. Phone/Fax

Practice location:
  • Phone: 330-253-8803
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number195495
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number004085
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: