Provider Demographics
NPI:1225437494
Name:MAILEY, RACHEL (MS, LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MAILEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 RED RUN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:EAST BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17316-8953
Mailing Address - Country:US
Mailing Address - Phone:717-292-5826
Mailing Address - Fax:
Practice Address - Street 1:150 CORPORATE CENTER DR STE 202
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1759
Practice Address - Country:US
Practice Address - Phone:717-988-9430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-13
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC001034101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional