Provider Demographics
NPI:1164040606
Name:LYNN, RACHELE CUTRER (LCSW)
Entity Type:Individual
Prefix:
First Name:RACHELE
Middle Name:CUTRER
Last Name:LYNN
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:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-1475
Mailing Address - Country:US
Mailing Address - Phone:985-474-6671
Mailing Address - Fax:866-931-3991
Practice Address - Street 1:63035 COMMERCIAL ST
Practice Address - Street 2:70451
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70456
Practice Address - Country:US
Practice Address - Phone:985-748-8411
Practice Address - Fax:866-391-3991
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA84671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical