Healthcare Provider Details

I. General information

NPI: 1003740143
Provider Name (Legal Business Name): RACHEL S WARRICH LMFT-IT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6502 GRAND TETON PLZ
MADISON WI
53719-1047
US

IV. Provider business mailing address

6400 INDUSTRIAL LOOP
GREENDALE WI
53129-2452
US

V. Phone/Fax

Practice location:
  • Phone: 608-827-7220
  • Fax: 608-827-7223
Mailing address:
  • Phone: 414-858-4107
  • Fax: 414-423-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1221-228
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: