Provider Demographics
NPI:1215601398
Name:EPLEY, RACHEL K (LPC, MT-BC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:K
Last Name:EPLEY
Suffix:
Gender:F
Credentials:LPC, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4028 W IRVING PARK RD # LOFTB
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-2925
Mailing Address - Country:US
Mailing Address - Phone:773-850-9046
Mailing Address - Fax:
Practice Address - Street 1:4028 W IRVING PARK RD # LOFTB
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-2925
Practice Address - Country:US
Practice Address - Phone:773-850-9046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL178017177OtherLICENSED PROFESSIONAL COUNSELOR (LCP)