Provider Demographics
NPI:1316194798
Name:REILAND, RACHEL CHRISTINE (MSW, LCSW, LCAS-A)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:REILAND
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS-A
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:CHRISTINE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW, LCAS-A
Mailing Address - Street 1:3713 RICHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2111
Mailing Address - Country:US
Mailing Address - Phone:336-288-1484
Mailing Address - Fax:336-288-0738
Practice Address - Street 1:1190 W ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-2818
Practice Address - Country:US
Practice Address - Phone:704-296-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-27
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NCC0076431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor