Provider Demographics
NPI:1225317092
Name:PACHECO, RHIANNON (LPC, RPT)
Entity Type:Individual
Prefix:
First Name:RHIANNON
Middle Name:
Last Name:PACHECO
Suffix:
Gender:F
Credentials:LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4943 OLD GREENWOOD RD STE 8
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6923
Mailing Address - Country:US
Mailing Address - Phone:479-274-8132
Mailing Address - Fax:
Practice Address - Street 1:4943 OLD GREENWOOD RD STE 8
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-6923
Practice Address - Country:US
Practice Address - Phone:479-274-8132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health