Provider Demographics
NPI:1740972355
Name:FROME, RACHEL Y (LSW)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:Y
Last Name:FROME
Suffix:
Gender:
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 WALNUT ST STE 901
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-2905
Mailing Address - Country:US
Mailing Address - Phone:267-603-3022
Mailing Address - Fax:267-214-0050
Practice Address - Street 1:1601 WALNUT ST STE 901
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2905
Practice Address - Country:US
Practice Address - Phone:267-603-3022
Practice Address - Fax:267-214-0050
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW138874101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor