Provider Demographics
NPI:1407618069
Name:EVERETT, RACHEL (RMHCI, PHD, MA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:EVERETT
Suffix:
Gender:F
Credentials:RMHCI, PHD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1949 ROWENA AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1540
Mailing Address - Country:US
Mailing Address - Phone:615-268-9788
Mailing Address - Fax:
Practice Address - Street 1:220 LOOKOUT PL
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-8440
Practice Address - Country:US
Practice Address - Phone:407-639-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH22821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health