Healthcare Provider Details

I. General information

NPI: 1326745993
Provider Name (Legal Business Name): RACHELLE HUZIAK MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHELLE CHRISTIE

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST STE 1651
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

826 PARK HARBOUR DR
BOARDMAN OH
44512-3995
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-6149
  • Fax:
Mailing address:
  • Phone: 814-673-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC000203
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: