Provider Demographics
NPI:1225717952
Name:TERRAZAS, RACHEL LYNNE (MS, CMHC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNNE
Last Name:TERRAZAS
Suffix:
Gender:F
Credentials:MS, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 ALPINE WAY
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-5392
Mailing Address - Country:US
Mailing Address - Phone:469-506-7746
Mailing Address - Fax:
Practice Address - Street 1:95 S 100 E
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-2252
Practice Address - Country:US
Practice Address - Phone:801-382-9338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12185136-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health