Provider Demographics
NPI:1497902118
Name:LIVASY, RACHAEL MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:MICHELLE
Last Name:LIVASY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:
Other - Last Name:FELDMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11709 OLD BALLAS RD STE 203
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7029
Mailing Address - Country:US
Mailing Address - Phone:314-956-5531
Mailing Address - Fax:
Practice Address - Street 1:11709 OLD BALLAS RD STE 203
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7029
Practice Address - Country:US
Practice Address - Phone:314-956-5531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012037744101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional