Provider Demographics
NPI:1225172992
Name:NEILL, RACHEL STIX (LPCC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:STIX
Last Name:NEILL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 SPRUCE ST STE CANDD
Mailing Address - Street 2:
Mailing Address - City:ESPANOLA
Mailing Address - State:NM
Mailing Address - Zip Code:87532-3455
Mailing Address - Country:US
Mailing Address - Phone:505-747-7400
Mailing Address - Fax:505-747-7403
Practice Address - Street 1:835 SPRUCE ST STE CANDD
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:NM
Practice Address - Zip Code:87532-3455
Practice Address - Country:US
Practice Address - Phone:505-747-7400
Practice Address - Fax:505-747-7403
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCCMH0206191101YP2500X
LA3337101YP2500X
CO0011587101YP2500X
NC11420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional