Healthcare Provider Details

I. General information

NPI: 1093626673
Provider Name (Legal Business Name): BRANDON ALEXANDER RAKOWSKI LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 S 4TH ST
EMMAUS PA
18049-2733
US

IV. Provider business mailing address

7728 BARROW DR
MACUNGIE PA
18062-2083
US

V. Phone/Fax

Practice location:
  • Phone: 610-973-5335
  • Fax:
Mailing address:
  • Phone: 203-451-6693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002627
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: