Provider Demographics
NPI:1558800185
Name:PERLICK, RACHAEL (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:PERLICK
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 PENN AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2560
Mailing Address - Country:US
Mailing Address - Phone:412-243-7535
Mailing Address - Fax:412-243-8711
Practice Address - Street 1:533 CARNOT RD
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2301
Practice Address - Country:US
Practice Address - Phone:724-513-9175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-15
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008549101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor