Provider Demographics
NPI:1033656012
Name:GODFREY, RACHEL (LMHC, NCC, CCM, QS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:GODFREY
Suffix:
Gender:F
Credentials:LMHC, NCC, CCM, QS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 IRVING BEND DR
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-8248
Mailing Address - Country:US
Mailing Address - Phone:954-254-7913
Mailing Address - Fax:
Practice Address - Street 1:348 IRVING BEND DR
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-8248
Practice Address - Country:US
Practice Address - Phone:954-254-7913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health