Provider Demographics
NPI:1821569344
Name:FASHING, RACHEL LEE (LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEE
Last Name:FASHING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BYSTED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:301 S BEDFORD ST STE 4A
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-4020
Mailing Address - Country:US
Mailing Address - Phone:608-290-5932
Mailing Address - Fax:
Practice Address - Street 1:301 S BEDFORD ST STE 4A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-4020
Practice Address - Country:US
Practice Address - Phone:608-352-8386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1293-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty