MEDICARE: RIKKIA RACHEA CARTER

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	104100000X	Social Worker	6852093597	MI
2	156F00000X	Technician/Technologist	F4B6H7L3	MI
3	163W00000X	Registered Nurse	4704414009	MI

General Provider Information

NPI Number	:	1164013587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIKKIA RACHEA CARTER

Provider Business Mailing Address
First Line	:	313 E HUDSON AVE # 1071
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3711
Country	:	US
Telephone Number	:	248-739-1270
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 E HUDSON AVE # 1071
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-3711
Country	:	US
Telephone Number	:	248-739-1270
Fax Number	:

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

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	03/20/2026

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Directions to “ RIKKIA RACHEA CARTER ” Practice Location

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