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NPI Code Detail

MEDICARE: MS. RACHAEL PATRICK LMHC

MEDICARE: MS. RACHAEL PATRICK 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
1101YM0800XMental Health Counselor6038MA

General Provider Information

NPI Number : 1649334178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RACHAEL PATRICK LMHC
Provider Business Mailing Address
First Line : 171 W 8TH ST
Second Line : 2ND FLOOR
City : SOUTH BOSTON
State : MA
Zip : 02127-2896
Country : US
Telephone Number : 617-442-8800
Fax Number :
Provider Business Practice Location Address
First Line : 1800 COLUMBUS AVE
Second Line :
City : ROXBURY
State : MA
Zip : 02119-1042
Country : US
Telephone Number : 617-442-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 07/08/2007

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