Healthcare Provider Details

I. General information

NPI: 1871000661
Provider Name (Legal Business Name): RACHEL ELIZABETH HAINES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7502 STATE RD STE 3350
CINCINNATI OH
45255-2801
US

IV. Provider business mailing address

7502 STATE RD STE 3350
CINCINNATI OH
45255-2801
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-3345
  • Fax: 513-231-6739
Mailing address:
  • Phone: 513-231-3345
  • Fax: 513-231-6739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1700212
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1700212
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: