Provider Demographics
NPI:1174400261
Name:CANDELARIA, RACHEL RAYE (LMHC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:RAYE
Last Name:CANDELARIA
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 1:181 FEDERAL WAY APT 104
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-4687
Mailing Address - Country:US
Mailing Address - Phone:909-455-4166
Mailing Address - Fax:
Practice Address - Street 1:18 SLATE HILL RD
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-3094
Practice Address - Country:US
Practice Address - Phone:401-462-0702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health