Provider Demographics
NPI:1164997276
Name:CLEVELAND, RACHEL MICHELE (LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MICHELE
Last Name:CLEVELAND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MICHELE
Other - Last Name:CLEVELAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:676 CHENERY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3034
Mailing Address - Country:US
Mailing Address - Phone:415-966-8484
Mailing Address - Fax:
Practice Address - Street 1:676 CHENERY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-3034
Practice Address - Country:US
Practice Address - Phone:415-966-8484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-05
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109218106H00000X
221700000X, 261QR0405X
CA136888106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder