Provider Demographics
NPI:1407336530
Name:MCBRAYER, RACHEL (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MCBRAYER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:
Other - Last Name:MCBRAYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:313 DIVIDEND DR STE 100
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1916
Mailing Address - Country:US
Mailing Address - Phone:770-468-3326
Mailing Address - Fax:
Practice Address - Street 1:313 DIVIDEND DR STE 100
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1916
Practice Address - Country:US
Practice Address - Phone:770-468-3326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty