Healthcare Provider Details

I. General information

NPI: 1851855688
Provider Name (Legal Business Name): RACHEL OPAUSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2019
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15064 CARROLLTON BLVD
CARROLLTON VA
23314-3582
US

IV. Provider business mailing address

17 RANDOLPH DR
WINDSOR VA
23487-9634
US

V. Phone/Fax

Practice location:
  • Phone: 757-344-4231
  • Fax:
Mailing address:
  • Phone: 757-344-4231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701008055
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: