Provider Demographics
NPI:1366328239
Name:RACHEL KOREST PHD PLLC
Entity type:Organization
Organization Name:RACHEL KOREST PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOREST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:517-898-3937
Mailing Address - Street 1:6435 ISLAND LAKE DR
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9735
Mailing Address - Country:US
Mailing Address - Phone:517-898-3937
Mailing Address - Fax:
Practice Address - Street 1:6435 ISLAND LAKE DR
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-9735
Practice Address - Country:US
Practice Address - Phone:517-898-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health