Provider Demographics
NPI:1871241356
Name:PIERRE-LOUIS, RACHELL (PSYD, NCSP)
Entity Type:Individual
Prefix:DR
First Name:RACHELL
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:PSYD, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 PROSPECT AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3779
Mailing Address - Country:US
Mailing Address - Phone:516-507-2487
Mailing Address - Fax:
Practice Address - Street 1:2175 WANTAGH AVE STE 103
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3925
Practice Address - Country:US
Practice Address - Phone:631-392-8245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024321103T00000X, 103TC2200X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent