Provider Demographics
NPI:1730744301
Name:MACKAY, RACHEL (CD(DONA))
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MACKAY
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15635 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-1841
Mailing Address - Country:US
Mailing Address - Phone:734-776-6334
Mailing Address - Fax:
Practice Address - Street 1:15635 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-1841
Practice Address - Country:US
Practice Address - Phone:734-776-6334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-08
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI11999374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula