Provider Demographics
NPI:1497902118
Name:LIVASY, RACHAEL MICHELLE (MA)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MICHELLE
Last Name:LIVASY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:FELDMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:745 CRAIG RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7160
Mailing Address - Country:US
Mailing Address - Phone:314-764-2500
Mailing Address - Fax:
Practice Address - Street 1:745 CRAIG RD STE 104
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7122
Practice Address - Country:US
Practice Address - Phone:314-764-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker