Provider Demographics
NPI:1295463560
Name:LORENZO-RAMIREZ, RACHEL ELENA (LMHC, NCC, CCM)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELENA
Last Name:LORENZO-RAMIREZ
Suffix:
Gender:F
Credentials:LMHC, NCC, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3418 91ST ST APT C12
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-3626
Mailing Address - Country:US
Mailing Address - Phone:803-868-0606
Mailing Address - Fax:
Practice Address - Street 1:3418 91ST ST APT C12
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-3626
Practice Address - Country:US
Practice Address - Phone:347-870-3149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health