Provider Demographics
NPI:1144569930
Name:WOOD, RACHEL SUZANNE (LAPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:SUZANNE
Last Name:WOOD
Suffix:
Gender:F
Credentials:LAPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 N COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-6828
Mailing Address - Country:US
Mailing Address - Phone:912-572-5261
Mailing Address - Fax:912-826-0233
Practice Address - Street 1:1009 N COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-6828
Practice Address - Country:US
Practice Address - Phone:912-572-5261
Practice Address - Fax:912-826-0233
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC003295101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional