Healthcare Provider Details

I. General information

NPI: 1588496046
Provider Name (Legal Business Name): RACHEL STROHM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1113 EASTON RD
WILLOW GROVE PA
19090-1901
US

IV. Provider business mailing address

959 PENN CIR APT C202
KING OF PRUSSIA PA
19406-4506
US

V. Phone/Fax

Practice location:
  • Phone: 215-830-5400
  • Fax:
Mailing address:
  • Phone: 302-745-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014811
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: