Provider Demographics
NPI:1174046841
Name:MIKES, RACHEL ARTURA (CAC II; RSS;CMI;BHWC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ARTURA
Last Name:MIKES
Suffix:
Gender:F
Credentials:CAC II; RSS;CMI;BHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 NAVAJO ST APT B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-8902
Mailing Address - Country:US
Mailing Address - Phone:720-675-2911
Mailing Address - Fax:
Practice Address - Street 1:818 APPLE DR
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-3808
Practice Address - Country:US
Practice Address - Phone:720-675-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007499101YA0400X
COACA.0007499101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty