MEDICARE: RACHEL BOND

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	12193	SC
2	101YM0800X	Mental Health Counselor	MH21941	FL

General Provider Information

NPI Number	:	1881159788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BOND

Provider Business Mailing Address
First Line	:	13790 BRIDGEWATER CROSSINGS BLVD STE 1080
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5447
Country	:	US
Telephone Number	:	321-316-3810
Fax Number	:

Provider Business Practice Location Address
First Line	:	13790 BRIDGEWATER CROSSINGS BLVD STE 1080
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5447
Country	:	US
Telephone Number	:	321-316-3810
Fax Number	:

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

Provider Enumeration Date	:	02/05/2019
Last Update Date	:	06/15/2026

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Directions to “ RACHEL BOND ” Practice Location

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