Provider Demographics
NPI:1336567221
Name:RACHEL MOSKOWITZ, LLC
Entity Type:Organization
Organization Name:RACHEL MOSKOWITZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:STARR
Authorized Official - Last Name:MOSKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-509-6414
Mailing Address - Street 1:6037 WINTHROP COMMERCE AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4207
Mailing Address - Country:US
Mailing Address - Phone:813-509-6414
Mailing Address - Fax:813-501-6007
Practice Address - Street 1:6037 WINTHROP COMMERCE AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4207
Practice Address - Country:US
Practice Address - Phone:813-509-6414
Practice Address - Fax:813-501-6007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8984305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service