Provider Demographics
NPI:1356016083
Name:GARRY, RACHEL L (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:L
Last Name:GARRY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1634 S PRIMAVERA DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7568
Mailing Address - Country:US
Mailing Address - Phone:832-454-8143
Mailing Address - Fax:
Practice Address - Street 1:1634 S PRIMAVERA DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7568
Practice Address - Country:US
Practice Address - Phone:832-454-8143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75933101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health