Provider Demographics
NPI:1336787225
Name:SMITH, RACHELE (CDCA)
Entity Type:Individual
Prefix:
First Name:RACHELE
Middle Name:
Last Name:SMITH
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8918 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-3228
Mailing Address - Country:US
Mailing Address - Phone:513-377-9374
Mailing Address - Fax:
Practice Address - Street 1:8918 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-3228
Practice Address - Country:US
Practice Address - Phone:513-377-9374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH172270OtherCHEMICAL DEPENDENCY PROFESSIONAL BOARDS