Provider Demographics
NPI:1750115846
Name:CAVENDER, RACHEL LOUISE (ATR-P, LLPC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LOUISE
Last Name:CAVENDER
Suffix:
Gender:F
Credentials:ATR-P, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33200 DEQUINDRE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5967
Mailing Address - Country:US
Mailing Address - Phone:586-354-1489
Mailing Address - Fax:
Practice Address - Street 1:33200 DEQUINDRE RD STE 100
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5967
Practice Address - Country:US
Practice Address - Phone:586-354-1489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023368101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health