Provider Demographics
NPI:1578222097
Name:ROBBINS, RACHEL DARA (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DARA
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15147 SEELEY DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-1164
Mailing Address - Country:US
Mailing Address - Phone:248-421-3665
Mailing Address - Fax:
Practice Address - Street 1:7300 DIXIE HWY STE 1000
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-5105
Practice Address - Country:US
Practice Address - Phone:248-922-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009327101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional