Provider Demographics
NPI:1164286175
Name:MICHELETTI, RACHEL LYNNE (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNNE
Last Name:MICHELETTI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:LYNNE
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:420 W 36TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-3206
Mailing Address - Country:US
Mailing Address - Phone:577-681-6676
Mailing Address - Fax:
Practice Address - Street 1:139 TILDEN AVE STE F
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3973
Practice Address - Country:US
Practice Address - Phone:577-681-6676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-09
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health