Provider Demographics
NPI:1710619176
Name:RACHUI, MICHELLE BRIDGES
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:BRIDGES
Last Name:RACHUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 BUCKTHORNE DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2656
Mailing Address - Country:US
Mailing Address - Phone:972-841-5401
Mailing Address - Fax:
Practice Address - Street 1:3900 S STONEBRIDGE DR STE 703
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8054
Practice Address - Country:US
Practice Address - Phone:214-841-5401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-25
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health