| Rachel Schultz Counseling Llc | |
|
1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 | |
| (608) 313-4714 | |
| Not Available |
| Full Name | Rachel Schultz Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1639 N Alpine Rd Ste 403, Rockford, Illinois |
| Authorized Official Name and Position | Rachel Schultz (OWNER) |
| Authorized Official Contact | 6083134714 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Schultz Counseling Llc 1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 Ph: (608) 313-4714 | Rachel Schultz Counseling Llc 1639 N Alpine Rd Ste 403 Rockford IL 61107-1440 Ph: (608) 313-4714 |
| NPI Number | 1962907881 |
|---|---|
| Provider Enumeration Date | 03/25/2018 |
| Last Update Date | 09/22/2023 |
| Certification Date | 09/22/2023 |
| Medicare PECOS PAC ID | 9032561105 |
|---|---|
| Medicare Enrollment ID | O20240115001160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962907881 | NPI | - | NPPES |
| 180.011514 | Other | IL | LICENSED PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.011514 (Illinois) | Primary |
| Provider Name | Rachel Susan Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871094870 PECOS PAC ID: 0941652010 Enrollment ID: I20240115001218 |
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