Provider Demographics
NPI:1083274484
Name:ARNOLD, RACHAEL (LCSW, PMH-C)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LCSW, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5148 TOWNE CENTRE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63128-2743
Mailing Address - Country:US
Mailing Address - Phone:314-810-4353
Mailing Address - Fax:
Practice Address - Street 1:12166 OLD BIG BEND RD STE 315
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-6836
Practice Address - Country:US
Practice Address - Phone:314-274-1102
Practice Address - Fax:314-279-8201
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-18
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180281301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical