Healthcare Provider Details

I. General information

NPI: 1609595453
Provider Name (Legal Business Name): RACHEL M MCGEE CDCA.188340
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MEADOWLAWN DR UNIT 14
MENTOR OH
44060-6262
US

IV. Provider business mailing address

11 MEADOWLAWN DR UNIT 14
MENTOR OH
44060-6262
US

V. Phone/Fax

Practice location:
  • Phone: 440-661-9986
  • Fax:
Mailing address:
  • Phone: 440-661-9986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.188340
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: