Provider Demographics
NPI:1467858605
Name:VOGLE, RACHEL (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:
Last Name:VOGLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 SAINT ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-2923
Mailing Address - Country:US
Mailing Address - Phone:305-898-9788
Mailing Address - Fax:
Practice Address - Street 1:13200 SW 128TH ST
Practice Address - Street 2:UNIT F-2
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5881
Practice Address - Country:US
Practice Address - Phone:305-964-7598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-17
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 9102101YM0800X
FLMH13923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health