Provider Demographics
NPI:1811466436
Name:ANANIAN, RACHAEL VICTORIA (MMFT, LMFT)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:VICTORIA
Last Name:ANANIAN
Suffix:
Gender:
Credentials:MMFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 NANCY DR
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-1084
Mailing Address - Country:US
Mailing Address - Phone:201-669-8641
Mailing Address - Fax:
Practice Address - Street 1:300 OXFORD DR STE 50, GROUND FLOOR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2343
Practice Address - Country:US
Practice Address - Phone:412-844-2805
Practice Address - Fax:412-387-2673
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAMF001601106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health