Healthcare Provider Details

I. General information

NPI: 1003723529
Provider Name (Legal Business Name): ASHLEIGH NICOLE RAKOSKI MS, LAPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 EMRICK BLVD STE 201
BETHLEHEM PA
18020-8039
US

IV. Provider business mailing address

242 BARBERRY XING
SAYLORSBURG PA
18353-8605
US

V. Phone/Fax

Practice location:
  • Phone: 484-537-7515
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002750
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: