MEDICARE: RACHEL ELISABETH SWAN LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH60787753	WA

General Provider Information

NPI Number	:	1083963730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ELISABETH SWAN LMHC

Provider Business Mailing Address
First Line	:	3846 E MARLENE DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-1874
Country	:	US
Telephone Number	:	425-502-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 SW 76TH ST
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5002
Country	:	US
Telephone Number	:	928-414-7662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2012
Last Update Date	:	04/24/2025

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