MEDICARE: MS. RACHEL ELENA LORENZO-RAMIREZ LMHC, NCC, CCM

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	007572	NY

General Provider Information

NPI Number	:	1295463560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHEL ELENA LORENZO-RAMIREZ LMHC, NCC, CCM

Provider Business Mailing Address
First Line	:	3418 91ST ST APT C12
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-3626
Country	:	US
Telephone Number	:	803-868-0606
Fax Number	:

Provider Business Practice Location Address
First Line	:	3418 91ST ST APT C12
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-3626
Country	:	US
Telephone Number	:	347-870-3149
Fax Number	:

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

Provider Enumeration Date	:	08/12/2022
Last Update Date	:	12/21/2022

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