Provider Demographics
NPI:1700337805
Name:HERMAN, RACHEL (LCPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HERMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W BARRY AVE
Mailing Address - Street 2:APT 256
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5451
Mailing Address - Country:US
Mailing Address - Phone:414-405-9945
Mailing Address - Fax:
Practice Address - Street 1:515 W BARRY AVE
Practice Address - Street 2:APT 256
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5451
Practice Address - Country:US
Practice Address - Phone:414-405-9945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180013991101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty