Provider Demographics
NPI:1144827122
Name:KINSELLA, RACHEL (MFT-LP)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:KINSELLA
Suffix:
Gender:F
Credentials:MFT-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 WATTS ST APT 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-1641
Mailing Address - Country:US
Mailing Address - Phone:708-408-0977
Mailing Address - Fax:
Practice Address - Street 1:110 E 23RD ST STE 900
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4546
Practice Address - Country:US
Practice Address - Phone:646-469-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-03
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist