Provider Demographics
NPI:1639423221
Name:MEYER, RACHEL (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:DUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2640 NICOLLET AVE UNIT 517
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-5085
Mailing Address - Country:US
Mailing Address - Phone:612-845-4073
Mailing Address - Fax:
Practice Address - Street 1:50 4TH AVE N APT 21B
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55401-1341
Practice Address - Country:US
Practice Address - Phone:612-845-4073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-03
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2128106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist