Provider Demographics
NPI:1508560129
Name:COHEN, HIYAGUHA RACHELLE (LPCA)
Entity Type:Individual
Prefix:MS
First Name:HIYAGUHA
Middle Name:RACHELLE
Last Name:COHEN
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ASHBURY CT
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-8855
Mailing Address - Country:US
Mailing Address - Phone:808-639-4638
Mailing Address - Fax:
Practice Address - Street 1:1555 FORDING ISLAND RD STE C2
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1176
Practice Address - Country:US
Practice Address - Phone:843-815-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health