Provider Demographics
NPI:1013569359
Name:HELLER, RACHELLE NICOLE (LCSW)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:NICOLE
Last Name:HELLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3147 WOODLAND AVE # 3147
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4415
Mailing Address - Country:US
Mailing Address - Phone:570-899-5336
Mailing Address - Fax:
Practice Address - Street 1:709 MAIN ST
Practice Address - Street 2:
Practice Address - City:BAYBORO
Practice Address - State:NC
Practice Address - Zip Code:28515-9635
Practice Address - Country:US
Practice Address - Phone:252-745-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0138011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical