Healthcare Provider Details

I. General information

NPI: 1073156816
Provider Name (Legal Business Name): RACHEL SMITH LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2019
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8335 13TH AVE NW
SEATTLE WA
98117-4206
US

IV. Provider business mailing address

8335 13TH AVE NW
SEATTLE WA
98117-4206
US

V. Phone/Fax

Practice location:
  • Phone: 206-605-9208
  • Fax:
Mailing address:
  • Phone: 206-605-9208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61577613
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA60936498
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: