MEDICARE: OLIVIA RAE RASHED

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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1649902552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA RAE RASHED

Provider Business Mailing Address
First Line	:	3711 S 93RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53228-1615
Country	:	US
Telephone Number	:	414-333-0730
Fax Number	:

Provider Business Practice Location Address
First Line	:	14755 W CAPITOL DR STE 100
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53005-2318
Country	:	US
Telephone Number	:	414-292-4242
Fax Number	:	414-292-4182

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

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	06/18/2024

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Directions to “ OLIVIA RAE RASHED ” Practice Location

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