Provider Demographics
NPI:1033606223
Name:MATTIS, RACHEL (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MATTIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:ROCHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5524 BEE CAVES RD STE K4
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5247
Mailing Address - Country:US
Mailing Address - Phone:512-649-3050
Mailing Address - Fax:512-649-3050
Practice Address - Street 1:5524 BEE CAVES RD STE K4
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5247
Practice Address - Country:US
Practice Address - Phone:512-649-3050
Practice Address - Fax:512-649-3050
Is Sole Proprietor?:No
Enumeration Date:2018-04-13
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77919101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health