Provider Demographics
NPI:1902490089
Name:SPRAKER, RACHELLE RENEE (LMHC)
Entity type:Individual
Prefix:
First Name:RACHELLE
Middle Name:RENEE
Last Name:SPRAKER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6014 US HIGHWAY 19 STE 303
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2547
Mailing Address - Country:US
Mailing Address - Phone:833-473-3399
Mailing Address - Fax:
Practice Address - Street 1:6014 US HIGHWAY 19 STE 303
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2547
Practice Address - Country:US
Practice Address - Phone:833-473-3399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health