Healthcare Provider Details

I. General information

NPI: 1447505573
Provider Name (Legal Business Name): RACHEL LARA LITTLE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2012
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6402 TOLLGATE RD
ZIONSVILLE PA
18092-2162
US

IV. Provider business mailing address

6402 TOLLGATE RD
ZIONSVILLE PA
18092-2162
US

V. Phone/Fax

Practice location:
  • Phone: 484-951-4213
  • Fax:
Mailing address:
  • Phone: 484-951-4213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW129866
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCW018654
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: